A complicated multisystem flare of systemic lupus erythematosus during pregnancy

2017 BMJ Publishing Group Ltd..

We report a case of systemic lupus erythematosus (SLE) in a young woman who became pregnant amid a severe flare. She continued to have active disease in the face of aggressive treatments complicated by several side effects of immunosuppressive drugs including recurrent sepsis and gestational diabetes. Her fetus was at risk for congenital heart block during the second and third trimesters. Despite an extremely guarded prognosis, she delivered a healthy baby girl. This case highlights the complexities of SLE management during pregnancy. We discuss the therapeutic options available in pregnancy, and highlight the importance of cross-specialty multidisciplinary care in these women.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:2017

Enthalten in:

BMJ case reports - 2017(2017) vom: 08. Feb.

Sprache:

Englisch

Beteiligte Personen:

Webster, Philip [VerfasserIn]
Nelson-Piercy, Catherine [VerfasserIn]
Lightstone, Liz [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Immunosuppressive Agents
Journal Article

Anmerkungen:

Date Completed 21.03.2017

Date Revised 25.02.2020

published: Electronic

Citation Status MEDLINE

doi:

10.1136/bcr-2016-217546

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM268791864