Persistent neonatal thrombocytopenia can be caused by IgA antiplatelet antibodies in breast milk of immune thrombocytopenic mothers

Author:

Hauschner Hagit1,Rosenberg Nurit1,Seligsohn Uri1,Mendelsohn Rafael23,Simmonds Aryeh34,Shiff Yakov34,Schachter Yaakov23,Aviner Shraga5,Sharon Nechama36

Affiliation:

1. Amalia Biron Research Institute of Thrombosis and Hemostasis, Chaim Sheba Medical Center, Tel Hashomer and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel;

2. Pediatric Department, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel;

3. Ruth and Bruce Rappoport Faculty of Medicine, Technion, Haifa, Israel;

4. Neonatology Unit, Laniado Hospital, Netanya, Israel;

5. Department of Pediatrics, Barzilai University Medical Center, Ashkelon, and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel; and

6. Pediatric Hemato-oncology Department, Laniado Hospital, Netanya, Israel

Abstract

Key Points Persistent thrombocytopenia was observed in breastfed neonates of ITP women. Breast milk of ITP women may contain immunoglobulin A antiplatelet antibodies, which target αIIbβ3 integrin.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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