Successful pregnancies in a patient with Takayasu arteritis and antiphospholipid syndrome, maintained on infliximab corticosteroid-free regimen : case-based review

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..

Takayasu arteritis (TA) is a large vessel vasculitis affecting predominantly females below the age of 40. Patients with TA seem to be at increased risk for adverse pregnancy outcomes, resulting in mother or child complications. Although few studies analyzed the presence of antiphospholipid antibodies (APLA) in TA patients, an association between antiphospholipid syndrome (APS) and TA is rarely reported in the literature, mainly in the form of case reports. In fact, very few data regarding pregnancy outcomes in patients with TA and APS are available. An active form of Crohn's disease (CD) might be another risk factor strongly affecting the fertility rate. Here, we would like to present a 33-year-old woman with TA, double-positive APS and Crohn's disease (CD). The report is followed by the literature review of the association of APLA and/or APS with TA, focusing on analyzing the pregnancy outcomes. To our knowledge, this is the first case describing two successful, naturally occurring pregnancies, in a patient suffering from TA, APS and CD, and maintained on infliximab, azathioprine, and a corticosteroid-free regimen.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - year:2023

Enthalten in:

Rheumatology international - (2023) vom: 01. Sept.

Sprache:

Englisch

Beteiligte Personen:

Jovicic, Zikica [VerfasserIn]
Dragasevic, Sanja [VerfasserIn]
Petkovic, Ana [VerfasserIn]
Plesinac, Snezana [VerfasserIn]
Sokic Milutinovic, Aleksandra [VerfasserIn]
Stojanovic, Maja [VerfasserIn]

Links:

Volltext

Themen:

Antiphospholipid antibodies
Antiphospholipid syndrome
Crohn’s disease
Infliximab
Journal Article
Pregnancy outcomes
Review
Takayasu arteritis

Anmerkungen:

Date Revised 31.08.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.1007/s00296-023-05440-0

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361508743