Neonatal Alloimmune Neutropenia

Transfus Med Hemother. 2018 Oct;45(5):311-316. doi: 10.1159/000492949. Epub 2018 Sep 24.

Abstract

Neonatal alloimmune neutropenia (NAIN, NAIN or NIN) is a neutrophil blood group antagonism, analogous to hemolytic disease of the fetus and newborn (HDFN) and fetal/neonatal alloimmune thrombocytopenia (FNAIT). A limited number of prospective screening studies showed that granulocyte-specific antibodies were detectable in 0.35-1.1% of random postnatal maternal samples and that the incidence of NAIN was below 0.1%. Symptoms vary from none to mild skin infections, omphalitis or more severe infections like pneumonia, sepsis, and meningitis. Treatment of neonatal infection with antibiotics and granulocyte-colony stimulating factor is advised.

Keywords: Fetal alloimmune thrombocytopenia; Hemolytic disease of the newborn; Neonatal alloimmune neutropenia.

Publication types

  • Review