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Re: Placental thrombosisFrom: JD Stewart,MD (jdstewartmfmob@sbcglobal.net)Mon Oct 30 11:30:57 2006
Likely if they discovered the MTHFR heterozygous status, the FVLeyden/Prothrombin/PA1 markers have been run as well. Possibly the autoimmune SLE/AclAb/ Beta 2 Gly panel should be run, too if it hasn't. If it was equivocal, rerunning the titers may be helpful as far as pushing towards more aggressive anticoagulation. If she is positive for another marker, or IUGR as yet, moving to SQ prophylactic heparin may be a reasonable step. Adding ASA QD shouldn't hurt either. I'm curious as to why a thrombophilic pregnant woman is on bedrest...is there a hypertension problem? An aerobics instructor problem? Compliance problem? At any rate, she is certainly at a risk to deliver early- consider steroids at whatever recipe you are fond of...
At Sat, 28 Oct 2006, Andrew Folley wrote:
>
-- JD. Stewart, MD MFM up too late all night, every night
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