Severe Maternal Morbidity Associated with Systemic Lupus Erythematosus Flare in the Second Trimester of Pregnancy
المؤلفون المشاركون
Blitz, Matthew J.
Fleischer, Adiel
المصدر
Case Reports in Obstetrics and Gynecology
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-05-10
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Pregnancy in women with systemic lupus erythematosus (SLE) is associated with an increased risk of adverse maternal and fetal outcomes.
Here, we present a case of severe maternal morbidity in a 23-year-old primigravida with SLE and secondary Sjögren’s syndrome who experienced a life-threatening multisystem flare at 17 weeks of gestational age.
She presented to the emergency department complaining of cough with hemoptysis and shortness of breath.
She developed hypoxic respiratory failure and was admitted to the intensive care unit.
Bronchoscopy confirmed diffuse alveolar hemorrhage.
Physical exam and laboratory evaluation were consistent with an active SLE flare, pancytopenia, and new-onset lupus nephritis.
After counseling regarding disease severity, poor prognosis, and recommendation for therapy with cytotoxic agents, she agreed to interruption of pregnancy which was achieved by medical induction.
Her course was further complicated by thrombotic microangiopathy and generalized tonic-clonic seizures attributable to posterior reversible encephalopathy syndrome versus neuropsychiatric SLE.
This case represents one of the most extreme manifestations of lupus disease activity associated with pregnancy that has been reported in the literature and emphasizes the importance of preconception evaluation and counseling and a multidisciplinary management approach in cases with a complex and evolving clinical course.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Blitz, Matthew J.& Fleischer, Adiel. 2018. Severe Maternal Morbidity Associated with Systemic Lupus Erythematosus Flare in the Second Trimester of Pregnancy. Case Reports in Obstetrics and Gynecology،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1145785
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Blitz, Matthew J.& Fleischer, Adiel. Severe Maternal Morbidity Associated with Systemic Lupus Erythematosus Flare in the Second Trimester of Pregnancy. Case Reports in Obstetrics and Gynecology No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1145785
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Blitz, Matthew J.& Fleischer, Adiel. Severe Maternal Morbidity Associated with Systemic Lupus Erythematosus Flare in the Second Trimester of Pregnancy. Case Reports in Obstetrics and Gynecology. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1145785
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1145785
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر