Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Submit Manuscript
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • Topic/Program Collections
    • Blog
  • Multimedia
    • Teaching Slides
    • Pediatrics On Call Podcast
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Submit Manuscript
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • Topic/Program Collections
    • Blog
  • Multimedia
    • Teaching Slides
    • Pediatrics On Call Podcast
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
  • Subscribe
  • Alerts
  • Careers
American Academy of Pediatrics
Index of Suspicion

Case 1: Cardiac Arrest in a 2-month-old Boy with a Prenatal Course Complicated by Alloimmunization

Millie R. Chang, Andrew H. Chon, Jacquelyn Baskin, Ali Nael and Ramen H. Chmait
Pediatrics in Review May 2019, 40 (5) 243-246; DOI: https://doi.org/10.1542/pir.2018-0004
Millie R. Chang
*Department of Pediatrics,
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Andrew H. Chon
†Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology,
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jacquelyn Baskin
‡Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA
§Children’s Center for Cancer and Blood Disease,
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ali Nael
*Department of Pediatrics,
¶Department of Pathology, Children’s Hospital Los Angeles, Los Angeles, CA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ramen H. Chmait
†Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology,
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • Comments
Loading

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

Download PDF
  1. Millie R. Chang, MD*
  2. Andrew H. Chon, MD†
  3. Jacquelyn Baskin, MD‡,§
  4. Ali Nael, MD*,¶
  5. Ramen H. Chmait, MD†
  1. *Department of Pediatrics,
  2. §Children’s Center for Cancer and Blood Disease,
  3. ¶Department of Pathology, Children’s Hospital Los Angeles, Los Angeles, CA
  4. †Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology,
  5. ‡Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA
  • AUTHOR DISCLOSURE

    Drs Chang, Chon, Baskin, Nael, and Chmait have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.

EDITOR’S NOTE

Children face a daily balancing act between antigens, allergy, and immunity. Sometimes, that balance turns pathologic. Either the antigen can “win” or the immune response can end up hurting the host. In the review articles and case reports this month, we are reminded of immune reactions gone awry, and we learn how to care for affected children.

Philip R. Fischer, MD

Associate Editor, Index of Suspicion

Presentation

A 30-year-old gravida 2, para 1 woman with an intrauterine pregnancy at 29 1/7 weeks' gestation was referred for suspected fetal anemia secondary to rhesus (D) (Rh[D]) alloimmunization. The fetus received 3 intrauterine transfusions (IUTs) during the pregnancy (Table). The patient delivered vaginally at 37 1/7 weeks' gestation. The birthweight was 2,680 g, and Apgar scores were 8 and 9 at 1 and 5 minutes, respectively. On postnatal day 1, phototherapy was initiated for hyperbilirubinemia. On postnatal day 2, a complete blood cell count showed a white blood cell count of 2,500/μL (2.5 × 109/L), a hemoglobin (Hb) level of 16.7 g/dL (167 g/L), a hematocrit level of 46.6%, and a platelet count of 68 × 103/μL (68 × 109/L). The baby was discharged on postnatal day 3 when phototherapy was discontinued. Repeated bilirubin levels were within normal limits at an outpatient follow-up visit on postnatal day 4. The baby was seen in the clinic on postnatal day 10 for a health supervision visit, and a follow-up appointment was scheduled for 2 months of age.

View this table:
  • In this window
  • In a new window
Table.

Intrauterine Transfusions Performed During Pregnancy for the Treatment of Rhesus (D) Alloimmunization

On postnatal day 49, the parents noted the …

Individual Login

Log in
You will be redirected to aap.org to login or to create your account.

Institutional Login

via Institution

You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.

Log in through your institution

If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

Pay Per Article - You may access this article (from the computer you are currently using) for 2 days for US$25.00

Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.

Offer Reprints

PreviousNext
Back to top

Advertising Disclaimer »

In this issue

Pediatrics in Review: 40 (5)
Pediatrics in Review
Vol. 40, Issue 5
1 May 2019
  • Table of Contents
  • Table of Contents (PDF)
  • About the Cover
  • Index by author
  • Complete Issue (PDF)
View this article with LENS
PreviousNext
Email Article

Thank you for your interest in spreading the word on American Academy of Pediatrics.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Case 1: Cardiac Arrest in a 2-month-old Boy with a Prenatal Course Complicated by Alloimmunization
(Your Name) has sent you a message from American Academy of Pediatrics
(Your Name) thought you would like to see the American Academy of Pediatrics web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Request Permissions
Article Alerts
Log in
You will be redirected to aap.org to login or to create your account.
Or Sign In to Email Alerts with your Email Address
Citation Tools
Case 1: Cardiac Arrest in a 2-month-old Boy with a Prenatal Course Complicated by Alloimmunization
Millie R. Chang, Andrew H. Chon, Jacquelyn Baskin, Ali Nael, Ramen H. Chmait
Pediatrics in Review May 2019, 40 (5) 243-246; DOI: 10.1542/pir.2018-0004

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Case 1: Cardiac Arrest in a 2-month-old Boy with a Prenatal Course Complicated by Alloimmunization
Millie R. Chang, Andrew H. Chon, Jacquelyn Baskin, Ali Nael, Ramen H. Chmait
Pediatrics in Review May 2019, 40 (5) 243-246; DOI: 10.1542/pir.2018-0004
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Print
Download PDF
Insight Alerts
  • Table of Contents

Jump to section

  • Article
    • EDITOR’S NOTE
    • Presentation
    • Discussion
    • References
  • Figures & Data
  • Info & Metrics
  • Comments

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • A Young Child with Subacute Onset of Behavioral Changes
  • An 18-month-old Girl with a Fleshy Mass in the Ear Canal
  • Sudden Onset Respiratory Distress in a 4-year-old Girl
Show more Index of Suspicion

Similar Articles

Subjects

  • Hematology/Oncology
    • Hematology/Oncology
  • Gynecology
    • Maternal and Fetal Medicine
    • Gynecology
  • Journal Info
  • Editorial Board
  • ABP Content Specifications Map
  • Overview
  • Licensing Information
  • Authors
  • Author Guidelines
  • Submit My Manuscript
  • Librarians
  • Institutional Subscriptions
  • Usage Stats
  • Support
  • Contact Us
  • Subscribe
  • Resources
  • Media Kit
  • About
  • International Access
  • Terms of Use
  • Privacy Statement
  • FAQ
  • AAP.org
  • shopAAP
  • Follow American Academy of Pediatrics on Instagram
  • Visit American Academy of Pediatrics on Facebook
  • Follow American Academy of Pediatrics on Twitter
  • Follow American Academy of Pediatrics on Youtube
American Academy of Pediatrics

© 2021 American Academy of Pediatrics