Macular hemorrhages associated with neonatal polycythemia and thrombocytopenia: A case report

作者：Cui, Z.; Zhang, Y.; Liang, L.; Li, Z.; Hao, Q.^*

来源：Archives de Pediatrie, 2017, 24(2): 140-142.

DOI：10.1016/j.arcped.2016.11.013

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Background. Thrombocytopenia occurs in 51% of neonates with polycythemia and is independently associated with growth restriction. Increased hematocrit is associated with decreased platelet count. The possibility of a hemorrhage should be noted. @@@ Case description. A Chinese male newborn presented with elevated hemoglobin and hematocrit levels. The platelet count decreased to 10 x 10(9)/L during the 1st week after birth and remained abnormal at day 12. Vitreous turbidity of the right eye was detected 2 days later and was suspected of stemming from endophthalmitis br ocular inflammation. Two weeks later, vitreous turbidity decreased and a macular hemorrhage became visible. Optical coherence tomography confirmed the diagnosis of a retinal hemorrhage. @@@ Conclusion. Thrombocytopenia associated with polycythemia can induce a vitreous hemorrhage, which may be confused with ocular infection or inflammation.

• 出版日期2017-2
• 单位吉林大学