Hemolytic disease of the newborn, also known as HDN or Erythroblastosis fetalis, is an
alloimmune condition that develops in a
fetus, when the
IgG antibodies that have been produced by the mother and have passed through the
placenta include ones which attack the
red blood cells in the fetal circulation. The red cells are broken down and the fetus can develop
reticulocytosis and
anemia. This fetal disease ranges from mild to very severe, and fetal death from heart failure (
hydrops fetalis) can occur. When the disease is moderate or severe, many
erythroblasts are present in the fetal blood and so these forms of the disease can be called erythroblastosis fetalis (or erythroblastosis foetalis).
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