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 |
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Erscheinungsjahr: |
2017 |
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Erschienen: |
2017 |
Enthalten in: |
Zur Gesamtaufnahme - volume:2017 |
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Enthalten in: |
BMJ case reports - 2017(2017) vom: 08. Feb. |
Sprache: |
Englisch |
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Beteiligte Personen: |
Webster, Philip [VerfasserIn] |
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Links: |
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Themen: |
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Anmerkungen: |
Date Completed 21.03.2017 Date Revised 25.02.2020 published: Electronic Citation Status MEDLINE |
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doi: |
10.1136/bcr-2016-217546 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM268791864 |
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520 | |a 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 | ||
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