BACKGROUND: Pyruvate kinase deficiency is a rare cause of hemolytic anemia and, in its most severe form, requires splenectomy in childhood. During pregnancy, severe cases have been traditionally managed with prophylactic blood transfusions to keep the hemoglobin concentration above arbitrary thresholds of 7-8 g/dL. CASE: A case of severe pyruvate kinase deficiency anemia was managed conservatively without blood transfusions even though the hemoglobin concentration reached a nadir of 6.8 g/dL. The perinatal outcome was good. CONCLUSION: In cases of severe pyruvate kinase deficiency anemia, pregnancy per se might not be an indication for prophylactic blood transfusions.
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Univ Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, NetherlandsUniv Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, Netherlands
van Beers, Eduard J.
van Straaten, Stephanie
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Univ Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, NetherlandsUniv Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, Netherlands
van Straaten, Stephanie
Morton, D. Holmes
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Cent Penn Clin Special Children & Adults, Belleville, PA USA
Lancaster Gen Hosp, Lancaster, PA USAUniv Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, Netherlands
Morton, D. Holmes
Barcellini, Wilma
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Osped Maggiore Policlin, Fdn IRCCS Ca Granda, Milan, ItalyUniv Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, Netherlands
Barcellini, Wilma
Eber, Stefan W.
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Tech Univ, Schwerpunktpraxis Padiat Hamatol Onkol & Children, Munich, GermanyUniv Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, Netherlands
Eber, Stefan W.
Glader, Bertil
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Stanford Univ, Lucile Packard Childrens Hosp, Palo Alto, CA 94304 USAUniv Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, Netherlands
Glader, Bertil
Yaish, Hassan M.
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Univ Utah, Primary Childrens Hosp, Salt Lake City, UT USAUniv Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, Netherlands
Yaish, Hassan M.
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Chonat, Satheesh
Kwiatkowski, Janet L.
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Univ Penn, Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USAUniv Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, Netherlands
Kwiatkowski, Janet L.
Rothman, Jennifer A.
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Duke Univ, Med Ctr, Durham, NC USAUniv Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, Netherlands
Rothman, Jennifer A.
Sharma, Mukta
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Univ Missouri, Childrens Mercy Hosp, Kansas City, MO USAUniv Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, Netherlands
Sharma, Mukta
Neufeld, Ellis J.
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St Jude Childrens Res Hosp, 332 N Lauderdale St, Memphis, TN 38105 USAUniv Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, Netherlands
Neufeld, Ellis J.
Sheth, Sujit
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New York Presbyterian Hosp, Weill Cornell Med Coll, New York, NY USAUniv Utrecht, Univ Med Ctr Utrecht, Van Creveldklin, Utrecht, Netherlands
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Washington Univ, Sch Med, Dept Pediat, St Louis Childrens Hosp, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Pediat, St Louis Childrens Hosp, St Louis, MO 63110 USA
Rao, Aarati
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Hulbert, Monica
Wilson, David B.
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Washington Univ, Sch Med, Dept Pediat, St Louis Childrens Hosp, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Pediat, St Louis Childrens Hosp, St Louis, MO 63110 USA