Resumen de Anemia secundaria a déficit de piruvato cinasa en sucesivas gestaciones

M. Resta, M. Cerrillo Martínez, C. García-Garrido, S. Navarro, Gaspar González de Merlo

• Pyruvate kinase deficiency is a rare cause of hemolytic anemia. During pregnancy, severe cases have trafitionally been maintain with prophylactic blood transfusions to maintain the hemoglobin concentration above arbitrary thresholds of 7-8 g/dL.

  Case report. A case of emolytic anemia due to pyruvate kinase deficiency was discovered during the first treated with blood trasfusions. In a second pregnancy, the patient required a greater number of transfusions to keep the hemoglobin concentration above 7 g/dL. Both newborns were healthy and had adequate birth weight for gestational age.

  Conclusions. This kind of anemia is rare and something occurs in special situations such as pregnancy, infection, or stress.