Menu

rss
BMJ Case Reports 2013; doi:10.1136/bcr-2012-006547
  • Unusual presentation of more common disease/injury

Anti-S antibodies: an unusual cause of haemolytic disease of the fetus and newborn (HDFN)

  1. Alan Finan1
  1. 1Department of Paediatrics, Cavan General Hospital, Cavan, Ireland
  2. 2Department of Obstetrics & Gynaecology, Cavan General Hospital, Cavan, Ireland
  3. 3Department of Haematology, Cavan Genaral Hospital, Cavan, Ireland
  1. Correspondence to Dr Christopher Pitan, docpitan{at}yahoo.co.uk
  • Received 13 June 2012
  • Revised 28 July 2012
  • Accepted 1 August 2012
  • Published 3 January 2013

Summary

We report a case of haemolytic disease of the fetus and newborn due to anti-S antibodies. Baby G was born by emergency caesarean section at 35 weeks due to reduced fetal movement. Prior to delivery, antenatal screening revealed the mother's blood group was AB rhesus positive with anti-S antibody titres. The baby was pale but non-hydropic at birth with hepatosplenomegaly. Haemoglobin at birth was 5.23 g/dl and serum bilirubin 138 µmol/l. The baby required phototherapy, γ-globulin infusion and exchange transfusion with post-transfusion complications.

This Article

  1. Summary
  2. Full text
  3. PDF

Responses

  1. Submit a response
  2. No responses published

Social bookmarking

Top rated cases

Top rated cases

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

 

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog