Pregnancy complicated with pure XXXX : a case report.

@entity1 @entity1501 @entity417 @entity8344 @entity229 @entity2186 @entity1308 @entity68
A 31-year-old Japanese pregnant @entity1 had no remarkable previous medical and family histories except for artificial abortion in 1993. A full-term normal @entity1 was subsequently delivered in 1998. In this pregnancy, she began to experience general fatigability with a hemoglobin concentration of 8.5 g/dl at 19 weeks of gestation. Although she had been treated with intravenous @entity68 , the hemoglobin decreased to 6.0 g/dl. She was referred to our hospital at 34 weeks of gestation. The laboratory data were as follows on this admission; hemoglobin 5.1 g/dl, RBC 128 x 10(4)/l, reticulocytes 1.1%, WBC 7.1 x 10(9)/l, platelet count 229 x 10(9)/l, @entity1501 5.6 ng/ml, serum @entity2186 200 pg/ml, ferritin 184 ng/ml, @entity8344 (-). A bone marrow aspiration revealed normal granulopoiesis and megakaryocytes, but almost complete absence of erythropoietic precursors. A diagnosis of pure @entity1308 was made due to these findings. Treatment with @entity229 (50 mg/day) and blood transfusion was started before delivery. She was delivered transvaginally at 37 weeks of gestation. The neonate was a normal female @entity1 without @entity417 (hemoglobin 17.9 g/dl) and the 1 minute Apgar score was 8. Her hemoglobin level rose to 12.1 g/dl spontaneously two weeks after delivery.
