Abstract:
:Patients with systemic lupus erythematosus have a poor prognosis of pregnancy, since it is associated with significant maternal and fetal morbidity, including spontaneous miscarriage, pre-eclampsia, intrauterine growth restriction, fetal death and pre-term delivery. We report a case with successful pregnancy in a patient with systemic lupus erythematosus and hypertension. A 39-year-old nulliparous woman presented with systemic lupus erythematosus with antinuclear and antiphospholipid antibodies, hypertension and recurrent pregnancy loss presented for assisted reproduction. The patient responded well to enoxaparin and prednisone during both assisted reproduction and prenatal treatment. This case report indicates that prescription of immunosuppressant and blood thinners can be safely recommended throughout the whole prenatal period in patients with systemic lupus erythematosus. Enoxaparin and prednisone may be prescribed concurrently during pregnancy.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
de Macedo JF,de Macedo GC,Campos LA,Baltatu OCdoi
10.1097/MD.0000000000001531subject
Has Abstractpub_date
2015-09-01 00:00:00pages
e1531issue
37eissn
0025-7974issn
1536-5964pii
00005792-201509030-00032journal_volume
94pub_type
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