J Korean Soc Neonatol.
1999 Nov;6(2):276-279.
A Case of Alloimmune Neonatal Neutropenia
- Affiliations
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- 1Department of Pediatrics, Pohang St. Mary's Hospital, Pohang, Korea.
Abstract
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Alloimmune neonatal neutropenia (ANN) is due to maternal IgG neutrophil-specific antibodies that cross the placenta to
sensitize fetal neutrophils and cause neutropenia in the neonate. Infection appears within a few days of life. Neutropenia
worsens during the very first days of life and persists until 20-50 days in spite of the disappearance of detectable
antibody in the infant's serum. We report a case of ANN in female neonate who was admitted on the 5th day of life due
to poor oral intake. The diagnosis was made by indirect immunofluorescence with fluorescein-tagged antihuman globulin
reagent. The patient was treated successfully with systematic intravenous antibiotics and highdose intravenous
immunoglobulin (IVIG).