Re: Auntie Em! Auntie Em!

From: R. Daniel Braun (rBraun@IUNET.IUPUI.EDU)
Thu Apr 11 18:13:20 1996


The Ortho antibody index (slide rule) says that Anti-M does not usually result in EBF. For several other antibodies, it says there are no reported cases of EBF secondary to the antibody. To me this means that your patient with Anti-M and an M positive significant other must be watched closely. I would do reg. ultrasound evaluations looking for early evidence of hydrops and perhaps an amnio at 28-30 weeks. I would not subject her to a PUBS. That would certainly be overkill. IOW, you can't tell her it won't cause a problem and you sure can't tell her it will because it possibly could. (Darn, sounds like an attorney)

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R.Daniel Braun,MD "Everybody lies about sex." Clinical Professor Indiana U. School of Medicine Lazarus Long

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