Successful Pregnancy Outcome in a Patient with Juvenile Idiopathic Arthritis in Adulthood, Amyloid A Amyloidosis, and Chronic Kidney Disease Using Tocilizumab with Strict Blood Pressure Control

Pregnancies with chronic kidney disease (CKD) and high disease activity in rheumatic diseases are high-risk events with adverse outcomes for both the mother and fetus. We herein report a 35-year-old woman with juvenile idiopathic arthritis (JIA), amyloid A (AA) amyloidosis related to JIA, and CKD stage G4A2 who wished to have children. She achieved a successful pregnancy, even in the presence of these multiple risk factors, using tocilizumab to control the disease activity of JIA and AA amyloidosis, along with antihypertensive drugs to control her blood pressure before and during pregnancy.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - year:2023

Enthalten in:

Internal medicine (Tokyo, Japan) - (2023) vom: 29. Sept.

Sprache:

Englisch

Beteiligte Personen:

Akira, Taro [VerfasserIn]
Shimazu, Yukiko [VerfasserIn]
Hashimoto, Nobuhiro [VerfasserIn]
Okushima, Hiroki [VerfasserIn]
Suzuki, Takehiro [VerfasserIn]
Tada, Tomomi [VerfasserIn]
Ikoma, Makiko [VerfasserIn]
Hosokawa, Takashi [VerfasserIn]
Ueda, Yoshiyasu [VerfasserIn]
Takemura, Masahiko [VerfasserIn]
Fujiwara, Hiroshi [VerfasserIn]

Links:

Volltext

Themen:

Amyloid A amyloidosis
Chronic kidney disease
Journal Article
Juvenile idiopathic arthritis
Pregnancy
Rheumatic diseases
Tocilizumab

Anmerkungen:

Date Revised 01.10.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.2169/internalmedicine.1951-23

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362749515