J Korean Pediatr Soc.  2000 Jun;43(6):861-865.

A Case of Neonatal Alloimmune Thrombocytopenia dut to Anti-HLA A2

• Kim SY
• Kim ER
• Kim YJ
• Park MH
• Song EY
• Han KS

Abstract

Neonatal alloimmune thrombocytopenia(NAIT) is a rare disease caused by maternal alloimmunization against fetal platelet surface antigen, which is mainly platelet specific alloantigen or human leukocyte antigen(HLA). During routine hemotology, we accidentally discovered thrombocytopenia in a female fullterm newborn admitted due to jaundice. We excluded NAIT due to human platelet alloantigen(HPA), because the HPA of the mother and baby were the same on PCR-RFLP (polymerase chain reaction-restriction fragment length polymorphism). Mother's serum was tested for lyrnphocytotoxity against 36 donor lymphocytes, and anti-HLA A2, A24 and B58 were found. HLA typing of the father and baby revealed A2 antigen which was not present on the mothers lymphocytes. The patient received concentrated platelet and intravenous globulin. Her platelet count increased to 222,000/mm from 3,000/mm on the 11th day of life. We described a case of NAIT due to anti-HLA A2 antibody with a detailed clinical feature. (J Korean Pediatr Soc 1999;43:861-865)

Keyword

Neonatal alloimmune thrombocytopenia(NAIT); Anti-HLA A2 antibody; Newborn

MeSH Terms

Antigens, Surface
Blood Platelets
Fathers
Female
Histocompatibility Testing
Humans
Infant, Newborn
Isoantigens
Jaundice
Leukocytes
Lymphocytes
Mothers
Platelet Count
Rare Diseases
Thrombocytopenia
Thrombocytopenia, Neonatal Alloimmune*
Tissue Donors
Antigens, Surface
Isoantigens