RESUMEN
Hypocalcemia associated with labor and lactation is a rare condition reported previously in patients with hypovitaminosis D. We here describe a case of a young woman in whom symptomatic severe hypocalcemia appeared after her second delivery, early in lactation. At the end of lactation the condition worsened. We review all previously reported cases and suggest a possible physiologic explanation for the association between pregnancy, lactation and the appearance of symptomatic hypocalcemia.
Asunto(s)
Hipocalcemia/etiología , Hipoparatiroidismo/etiología , Lactancia , Trastornos Puerperales , Adulto , Calcio/administración & dosificación , Calcio/uso terapéutico , Suplementos Dietéticos , Femenino , Humanos , Vitamina D/administración & dosificación , Vitamina D/uso terapéutico , Deficiencia de Vitamina D/complicacionesAsunto(s)
Cirrosis Hepática Biliar/cirugía , Trasplante de Hígado/fisiología , Estudios de Seguimiento , Humanos , Trasplante de Hígado/inmunología , Trasplante de Hígado/mortalidad , Complicaciones Posoperatorias/clasificación , Tasa de Supervivencia , Factores de Tiempo , Resultado del TratamientoRESUMEN
Recognition of thrombotic thrombocytopenic purpura (TTP)/hemolytic uremic syndrome (HUS) following bone marrow transplantation (BMT) has increased in recent years. The use of plasma exchange has greatly improved the outlook of de novo TTP. Fewer data are available on its use in post-BMT TTP but small uncontrolled series showed poor results with low response rates. We present here a case of a young patient who developed manifestations of TTP 10 months after BMT with complete recovery following treatment with plasma exchange for 1 month. This case suggests that plasma exchange could be life saving and should be tried in every patient with post-BMT TTP.
