Alpha II Antiplasmin Deficiency Complicating Pregnancy: A Case Report

Background. Alpha II antiplasmin is a protein involved in the inhibition of fibrinolysis. A deficiency in this protein leads to increased hemorrhage. It is inherited in an autosomal recessive fashion. Case. 30-year-old Gravida 1, Para 0, presented for prenatal care with her first and subsequently he...

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Main Author: Brenda Dawley
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2011/698648
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author Brenda Dawley
author_facet Brenda Dawley
author_sort Brenda Dawley
collection DOAJ
description Background. Alpha II antiplasmin is a protein involved in the inhibition of fibrinolysis. A deficiency in this protein leads to increased hemorrhage. It is inherited in an autosomal recessive fashion. Case. 30-year-old Gravida 1, Para 0, presented for prenatal care with her first and subsequently her second pregnancy. Her medical history was significant for a known deficiency in alpha II antiplasmin. Her first and second pregnancies were complicated by nonobstetrical hemorrhage requiring transfusions and severe preeclampsia requiring preterm deliveries. Conclusion. Alpha II antiplasmin deficiency resulted in multiple episodes of nonobstetrical hemorrhages requiring transfusion and ultimately preterm deliveries due to severe preeclampsia. Both infants and mother had a good outcome. The presence of this disorder may require a multidisciplinary team approach involving obstetricians, pediatricians, and hematologists. Precis. Alpha II antiplasmin deficiency is a rare autosomal recessive disorder leading to increased fibrinolysis and hemorrhage. We present a case report of a pregnancy complicated by this disorder.
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spelling doaj-art-8886b21ff916426da3a18a34ab0e966b2025-02-03T01:30:27ZengWileyObstetrics and Gynecology International1687-95891687-95972011-01-01201110.1155/2011/698648698648Alpha II Antiplasmin Deficiency Complicating Pregnancy: A Case ReportBrenda Dawley0Department of Obstetrics and Gynecology, Joan C. Edwards School of Medicine, 1600 Medical Center Drive, Suite 4500 Huntington, WV 25701, USABackground. Alpha II antiplasmin is a protein involved in the inhibition of fibrinolysis. A deficiency in this protein leads to increased hemorrhage. It is inherited in an autosomal recessive fashion. Case. 30-year-old Gravida 1, Para 0, presented for prenatal care with her first and subsequently her second pregnancy. Her medical history was significant for a known deficiency in alpha II antiplasmin. Her first and second pregnancies were complicated by nonobstetrical hemorrhage requiring transfusions and severe preeclampsia requiring preterm deliveries. Conclusion. Alpha II antiplasmin deficiency resulted in multiple episodes of nonobstetrical hemorrhages requiring transfusion and ultimately preterm deliveries due to severe preeclampsia. Both infants and mother had a good outcome. The presence of this disorder may require a multidisciplinary team approach involving obstetricians, pediatricians, and hematologists. Precis. Alpha II antiplasmin deficiency is a rare autosomal recessive disorder leading to increased fibrinolysis and hemorrhage. We present a case report of a pregnancy complicated by this disorder.http://dx.doi.org/10.1155/2011/698648
spellingShingle Brenda Dawley
Alpha II Antiplasmin Deficiency Complicating Pregnancy: A Case Report
Obstetrics and Gynecology International
title Alpha II Antiplasmin Deficiency Complicating Pregnancy: A Case Report
title_full Alpha II Antiplasmin Deficiency Complicating Pregnancy: A Case Report
title_fullStr Alpha II Antiplasmin Deficiency Complicating Pregnancy: A Case Report
title_full_unstemmed Alpha II Antiplasmin Deficiency Complicating Pregnancy: A Case Report
title_short Alpha II Antiplasmin Deficiency Complicating Pregnancy: A Case Report
title_sort alpha ii antiplasmin deficiency complicating pregnancy a case report
url http://dx.doi.org/10.1155/2011/698648
work_keys_str_mv AT brendadawley alphaiiantiplasmindeficiencycomplicatingpregnancyacasereport