“Benign” hypergammaglobulinemic purpura is not benign in pregnancy

Jolly, E.C., Hunt, B.J., Ellis, S., Griffiths, M. and Farrington, Ken (2009) “Benign” hypergammaglobulinemic purpura is not benign in pregnancy. Clinical Rheumatology (Supp 1). pp. 11-15. ISSN 0770-3198
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A woman presented at 25 weeks gestation in her first pregnancy with severe preeclampsia and an intrauterine death. It later emerged that she had Waldenstrom’s benign hypergammaglobulinemic purpura. We discuss the implications of this diagnosis in pregnancy and explore possible management options during subsequent pregnancies.

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