Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Multiple Placental Infarcts in a Pregnant Woman with Essential Thrombocythemia
Yoko EdahiroJun AndoToshifumi SuzukiYuki FukumuraAzuchi MasudaShiori SakayoriJun TakedaYojiro MaruyamaShintaro MakinoAtsuo ItakuraNorio Komatsu
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JOURNAL OPEN ACCESS

2018 Volume 57 Issue 24 Pages 3647-3650

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Abstract

Myeloproliferative neoplasms (MPNs), including polycythemia vera, essential thrombocythemia (ET), and primary myelofibrosis, mainly occur in older patients, but have also been reported in younger patients. A "second peak" occurs in female patients in their thirties, particularly in ET; thus, the management of pregnancy is often discussed.

We herein present the case of a 33-year-old woman with a high platelet count and multiple placental infarcts during delivery who was subsequently diagnosed with ET. Although there are no worldwide guidelines for the management of MPNs in pregnancy, the risk of thrombosis is markedly increased in these patients, and antithrombotic therapy should be considered.

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© 2018 by The Japanese Society of Internal Medicine
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