J Korean Soc Neonatol.  1999 Nov;6(2):276-279.

A Case of Alloimmune Neonatal Neutropenia

Affiliations
  • 1Department of Pediatrics, Pohang St. Mary's Hospital, Pohang, Korea.

Abstract

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).

Keyword

Alloimmune neonatal neutropenia; IVIG

MeSH Terms

Anti-Bacterial Agents
Antibodies
Diagnosis
Female
Fluorescent Antibody Technique, Indirect
Humans
Immunoglobulin G
Immunoglobulins
Immunoglobulins, Intravenous
Infant, Newborn
Neutropenia*
Neutrophils
Placenta
Anti-Bacterial Agents
Antibodies
Immunoglobulin G
Immunoglobulins
Immunoglobulins, Intravenous
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