Approach to Pregnancy Affected by Kell Alloimmunization

Hemolytic disease of the fetus and newborn (HDFN) is the development of anemia, hyperbilirubinemia, and finally hydrops fetalis in the fetus when antibodies to antigens on the surface of erythrocytes are transferred from the placenta to the fetus. The most common cause is D-HDFN. K (KEL1) from the K...

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Main Authors: Serdar Aykut, Suleyman Cansun Demir, Ismaıl Cuneyt Evruke, Mete Sucu, Fatma Islek Uzay, Mesut Avan, Ozge Keles Bayer, Emre Yalcin
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2024/1929147
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author Serdar Aykut
Suleyman Cansun Demir
Ismaıl Cuneyt Evruke
Mete Sucu
Fatma Islek Uzay
Mesut Avan
Ozge Keles Bayer
Emre Yalcin
author_facet Serdar Aykut
Suleyman Cansun Demir
Ismaıl Cuneyt Evruke
Mete Sucu
Fatma Islek Uzay
Mesut Avan
Ozge Keles Bayer
Emre Yalcin
author_sort Serdar Aykut
collection DOAJ
description Hemolytic disease of the fetus and newborn (HDFN) is the development of anemia, hyperbilirubinemia, and finally hydrops fetalis in the fetus when antibodies to antigens on the surface of erythrocytes are transferred from the placenta to the fetus. The most common cause is D-HDFN. K (KEL1) from the Kell blood group system is the most potent immunogenic antigen after D among all blood group antigens. K-HDFN occurs in 0.1–0.3% of pregnant women. It accounts for 10% of cases of antibody-mediated severe fetal anemia. We present a successful management of Kell alloimmunization in a pregnant woman who had 3 times pregnancy loss with hydrops fetalis due to K-HDFN and who was proven to have K-HDFN in the postnatal period in her last pregnancy.
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institution Kabale University
issn 2090-6579
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publishDate 2024-01-01
publisher Wiley
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series Case Reports in Hematology
spelling doaj-art-dcc9b735ed114091869d6324c3b465872025-02-03T07:23:37ZengWileyCase Reports in Hematology2090-65792024-01-01202410.1155/2024/1929147Approach to Pregnancy Affected by Kell AlloimmunizationSerdar Aykut0Suleyman Cansun Demir1Ismaıl Cuneyt Evruke2Mete Sucu3Fatma Islek Uzay4Mesut Avan5Ozge Keles Bayer6Emre Yalcin7Department of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyHemolytic disease of the fetus and newborn (HDFN) is the development of anemia, hyperbilirubinemia, and finally hydrops fetalis in the fetus when antibodies to antigens on the surface of erythrocytes are transferred from the placenta to the fetus. The most common cause is D-HDFN. K (KEL1) from the Kell blood group system is the most potent immunogenic antigen after D among all blood group antigens. K-HDFN occurs in 0.1–0.3% of pregnant women. It accounts for 10% of cases of antibody-mediated severe fetal anemia. We present a successful management of Kell alloimmunization in a pregnant woman who had 3 times pregnancy loss with hydrops fetalis due to K-HDFN and who was proven to have K-HDFN in the postnatal period in her last pregnancy.http://dx.doi.org/10.1155/2024/1929147
spellingShingle Serdar Aykut
Suleyman Cansun Demir
Ismaıl Cuneyt Evruke
Mete Sucu
Fatma Islek Uzay
Mesut Avan
Ozge Keles Bayer
Emre Yalcin
Approach to Pregnancy Affected by Kell Alloimmunization
Case Reports in Hematology
title Approach to Pregnancy Affected by Kell Alloimmunization
title_full Approach to Pregnancy Affected by Kell Alloimmunization
title_fullStr Approach to Pregnancy Affected by Kell Alloimmunization
title_full_unstemmed Approach to Pregnancy Affected by Kell Alloimmunization
title_short Approach to Pregnancy Affected by Kell Alloimmunization
title_sort approach to pregnancy affected by kell alloimmunization
url http://dx.doi.org/10.1155/2024/1929147
work_keys_str_mv AT serdaraykut approachtopregnancyaffectedbykellalloimmunization
AT suleymancansundemir approachtopregnancyaffectedbykellalloimmunization
AT ismaılcuneytevruke approachtopregnancyaffectedbykellalloimmunization
AT metesucu approachtopregnancyaffectedbykellalloimmunization
AT fatmaislekuzay approachtopregnancyaffectedbykellalloimmunization
AT mesutavan approachtopregnancyaffectedbykellalloimmunization
AT ozgekelesbayer approachtopregnancyaffectedbykellalloimmunization
AT emreyalcin approachtopregnancyaffectedbykellalloimmunization