APLASTIC-ANEMIA - REPORT OF A CASE WITH RECURRENT EPISODES IN CONSECUTIVE PREGNANCIES

BACKGROUND: Aplastic anemia complicating normal pregnancy is a rare ev ent, associated with increased risks for both mother and fetus. CASE: A 30-year-old woman in her fifth pregnancy experienced the complicatio ns of aplastic anemia and preeclampsia. The patient had a history of f our unsuccessful previous pregnancies also complicated by aplastic ane mia, but she was free of the disease in the intervals between the preg nancies. During this last pregnancy she presented at 31 weeks' gestati on with symptoms and signs of severe aplastic anemia and preeclampsia. A cesarean section was performed, and a normal infant was born. Suppo rtive therapy, growth factors, prednisolone and intravenous immunoglob ulin were administered, and the patient's general condition improved t wo weeks after delivery. CONCLUSION: Aplastic anemia may occur during consecutive pregnancies. The gestational age at the onset of the disea se and the severity of the symptoms determine the outcome of the pregn ancy.