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/lp/de-gruyter/systemic-lupus-erythematosus-treatment-in-pregnancy-case-study-DyGC46HAkP
- Publisher
- de Gruyter
- Copyright
- © 2020 Z Laucekova et al., published by Sciendo
- ISSN
- 1335-8421
- eISSN
- 1338-4139
- DOI
- 10.2478/acm-2020-0010
- Publisher site
- See Article on Publisher Site
Abstract
AbstractSystemic lupus erythematosus is a chronic inflammatory autoimmune disease with high prevalence in female in reproductive age. In recent years the prognosis of pregnant patients with SLE has improved significantly. Even though the treatment options have improved, the risk of flares, preeclampsia, pregnancy loss, and premature labours remains high compared to healthy women. The aim of this article is to offer a review of current treatment options in pregnant patients with SLE and to present a case report of 32-year-old patient with newly diagnosed acute outbreak of SLE, who experienced a life-threatening multisystem flare at 24 weeks of gestational age. This case represents one of the most extreme manifestations of lupus disease activity associated with pregnancy that has been reported in literature and emphasizes the importance of preconception evaluation and counseling and amultidisciplinary management approach in cases with a complex and evolving clinical course.
Journal
Acta Medica Martiniana – de Gruyter
Published: Aug 1, 2020
Keywords: Systemic lupus erythematosus; treatment; plasmapheresis; imunoabsorption