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Re: Anti c antibodyFrom: Robert J. Carpenter, Jr. MD (zygote@icsi.net)Wed Aug 17 22:16:58 2005
<?xml version="1.0" ?><html> <head> <title></title> </head> <body> <div align="left"><br/> </div> <div align="left"><font face="Times New Roman" size="3"><span style="font-size:12pt">Anti-little is the 2nd most severe Rh antibody. I have seen multiple cases</span></font></div> <div align="left"><font face="Times New Roman" size="3"><span style="font-size:12pt">of hydrops with it alone. When combined with Rho D it can be even more</span></font></div> <div align="left"><font face="Times New Roman" size="3"><span style="font-size:12pt">aggressive. </span></font></div> <div align="left"><br/> </div> <div align="left"><font face="Times New Roman" size="3"><span style="font-size:12pt">RJC</span></font></div> <div align="left"><br/> </div> <div align="left"><br/> </div> <div align="left"><font face="Times New Roman" size="3"><span style="font-size:12pt">On 17 Aug 2005 at 11:39, Lynn D. Montgomery, M.D. wrote:</span></font></div> <div align="left"><br/></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> Agree with Jerome. Follow with every two week assessments of the</span></font></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> middle cerebral artery velocity would be best choice. Incidence of</span></font></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> fetal anemia is low with "c", but none-the-less reported. Lynn </span></font></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> </span></font></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> Lynn D. Montgomery, M.D.</span></font></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> Maternal-Fetal Medicine, OB/GYN</span></font></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> Rocky Mountain Women's Health</span></font></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> 2835 Fort Missoula Rd., Suite 304</span></font></div> <div align="left"><br/> </div> <div align="left"><font face="Times New Roman" size="3"><span style="font-size:12pt">Being one of the folks who researched Doppler utilization in Rh disease.</span></font></div> <div align="left"><font face="Times New Roman" size="3"><span style="font-size:12pt">It works. It is currently not approriate to routinely do amnios UNLESS you</span></font></div> <div align="left"><font face="Times New Roman" size="3"><span style="font-size:12pt">are in a remote area and no one with the skills to do the MCA-PSV</span></font></div> <div align="left"><font face="Times New Roman" size="3"><span style="font-size:12pt">measurements. NEJM 1/2000 is the cite.</span></font></div> <div align="left"><br/> </div> <div align="left"><font face="Times New Roman" size="3"><span style="font-size:12pt">It really is effective when used by trained personnel.</span></font></div> <div align="left"><br/></div> <div align="left"><font face="Arial"><span style="font-size:10pt">RJC</span></font></div> <div align="left"><br/> </div> <div align="left"><font face="Times New Roman" size="3"><span style="font-size:12pt">On 17 Aug 2005 at 11:39, art fougner, md wrote:</span></font></div> <div align="left"><br/></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> According to Hackney et al ( Obstet Gynecol 2004 Jan;103(1):24-30), the</span></font></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> significance of antibody titers and deltaOD450 values was similar to</span></font></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> Rh-D sensitized pregnancies. A threshold of 1:32 or hydrops identified</span></font></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> all those with severe hemolytic disease.</span></font></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> </span></font></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> art</span></font></div> <div align="left"><font face="Times New Roman" color="#7f0000" size="3"><span style="font-size:12pt">> </span></font></div> <div align="left"><br/> </div> <div align="left"><br/></div> <div align="left"><font face="Arial"><span style="font-size:10pt">Robert J. Carpenter, Jr. MD</span></font></div> <div align="left"><font face="Arial"><span style="font-size:10pt">6624 Fannin, #2720</span></font></div> <div align="left"><font face="Arial"><span style="font-size:10pt">St. Luke's Medical Tower</span></font></div> <div align="left"><font face="Arial"><span style="font-size:10pt">Houston,TX 77030-2339</span></font></div> <div align="left"><font face="Arial"><span style="font-size:10pt">713-795-4600</span></font></div> <div align="left"></div> </body> |