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Isolation of Leukocytes from the Human Maternal-fetal Interface
Published on: May 21, 2015
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Pregnancy-induced leukocytosis: A case report
Xi Wang1, Yang-Yang Zhang1, Yang Xu2
1Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, China.
World Journal of Clinical Cases
|January 23, 2023
Summary
Pregnancy-induced leukocytosis, a rare condition with elevated white blood cell counts, typically resolves after childbirth. This case highlights its association with immunoregulation, suggesting delivery as a key treatment for complicated pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Hematology
Background:
- Pregnancy involves significant physiological changes, including common leukocytosis (elevated white blood cells), particularly neutrophilia in the third trimester.
- Non-congenital leukocytosis exceeding 20 × 10^9/L for 13 weeks during pregnancy is uncommon.
- This case details a rare instance of pregnancy-induced leukocytosis.
Observation:
- A 33-year-old woman at 27 weeks gestation developed asymptomatic leukocytosis.
- The condition persisted despite antibiotic treatment until a cesarean section at 40+3 weeks.
- Post-delivery, neutrophil counts normalized within 24 hours.
Findings:
- Pregnancy-induced leukocytosis can be asymptomatic and persistent throughout gestation.
- Resolution of leukocytosis occurred rapidly after delivery.
- The patient and infant showed positive health outcomes at 2-year follow-up.
Implications:
- Pregnancy-induced leukocytosis may be linked to maternal immunoregulation.
- For pregnancies complicated by malignant leukocytosis, delivery is the most effective therapeutic strategy.
- This case underscores the importance of considering pregnancy-specific physiological changes in diagnosing leukocytosis.
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