Dermoid Cysts and Refractory Warm Autoimmune Hemolytic Anemia in Pregnancy
Autoimmune hemolytic anemia (AIHA) is a rare disorder during pregnancy. The management of AIHA in pregnancy is not well established and remains challenging. A 30- year-old woman presented with severe AIHA at 10 weeks of gestation. Bilateral adnexal cysts were identified on pelvic ultrasound. She rec...
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| Language: | English |
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American College of Physicians
2023-08-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2022.1095 |
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| author | Mohammad Alhomoud Rochelle Joly Maria Teresa DeSancho |
| author_facet | Mohammad Alhomoud Rochelle Joly Maria Teresa DeSancho |
| author_sort | Mohammad Alhomoud |
| collection | DOAJ |
| description | Autoimmune hemolytic anemia (AIHA) is a rare disorder during pregnancy. The management of AIHA in pregnancy is not well established and remains challenging. A 30- year-old woman presented with severe AIHA at 10 weeks of gestation. Bilateral adnexal cysts were identified on pelvic ultrasound. She received prednisone and intravenous immunoglobulin without any improvement. She developed preeclampsia at 26 weeks of gestation and delivered at 29 weeks. She received rituximab postpartum and showed no signs of improvement. Five months later, she developed abdominal pain. Computed tomographyof the abdomen and pelvis revealed cholelithiasis, splenomegaly, and bilateral adnexal cystic masses. The removal of bilateral ovarian dermoid cysts successfully resolved the AIHA. It is important to recognize that dermoid cysts can potentially lead to AIHA during pregnancy. To reduce health risks for the mother and fetus, it may be necessary to promptly remove these cysts through surgery instead of resorting to unnecessary immunosuppressive treatments. |
| format | Article |
| id | doaj-art-ae652a92922e4c58a2a9f2f710f04ab3 |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2023-08-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-ae652a92922e4c58a2a9f2f710f04ab32025-08-20T02:27:24ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642023-08-012810.7326/aimcc.2022.1095Dermoid Cysts and Refractory Warm Autoimmune Hemolytic Anemia in PregnancyMohammad Alhomoud0Rochelle Joly1Maria Teresa DeSancho21Division of Hematology and Oncology, Department of Medicine, Weill Cornell Medicine/New York Presbyterian Hospital, New York, New York2Department of Obstetrics and Gynecology, Weill Cornell Medicine/New York Presbyterian Hospital, New York, New York1Division of Hematology and Oncology, Department of Medicine, Weill Cornell Medicine/New York Presbyterian Hospital, New York, New YorkAutoimmune hemolytic anemia (AIHA) is a rare disorder during pregnancy. The management of AIHA in pregnancy is not well established and remains challenging. A 30- year-old woman presented with severe AIHA at 10 weeks of gestation. Bilateral adnexal cysts were identified on pelvic ultrasound. She received prednisone and intravenous immunoglobulin without any improvement. She developed preeclampsia at 26 weeks of gestation and delivered at 29 weeks. She received rituximab postpartum and showed no signs of improvement. Five months later, she developed abdominal pain. Computed tomographyof the abdomen and pelvis revealed cholelithiasis, splenomegaly, and bilateral adnexal cystic masses. The removal of bilateral ovarian dermoid cysts successfully resolved the AIHA. It is important to recognize that dermoid cysts can potentially lead to AIHA during pregnancy. To reduce health risks for the mother and fetus, it may be necessary to promptly remove these cysts through surgery instead of resorting to unnecessary immunosuppressive treatments.https://www.acpjournals.org/doi/10.7326/aimcc.2022.1095 |
| spellingShingle | Mohammad Alhomoud Rochelle Joly Maria Teresa DeSancho Dermoid Cysts and Refractory Warm Autoimmune Hemolytic Anemia in Pregnancy Annals of Internal Medicine: Clinical Cases |
| title | Dermoid Cysts and Refractory Warm Autoimmune Hemolytic Anemia in Pregnancy |
| title_full | Dermoid Cysts and Refractory Warm Autoimmune Hemolytic Anemia in Pregnancy |
| title_fullStr | Dermoid Cysts and Refractory Warm Autoimmune Hemolytic Anemia in Pregnancy |
| title_full_unstemmed | Dermoid Cysts and Refractory Warm Autoimmune Hemolytic Anemia in Pregnancy |
| title_short | Dermoid Cysts and Refractory Warm Autoimmune Hemolytic Anemia in Pregnancy |
| title_sort | dermoid cysts and refractory warm autoimmune hemolytic anemia in pregnancy |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2022.1095 |
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