Goodpasture syndrome in a pregnant woman.

Abstract:

BACKGROUND:Goodpasture syndrome, an immunologic disorder characterized by glomerulonephritis and pulmonary hemorrhage, rarely presents in pregnancy. CASE:We describe a patient who was diagnosed with Goodpasture syndrome in her second trimester. She required daily hemodialysis, intermittent plasmapheresis, and immunosuppressive therapy. Her pregnancy was complicated by hypertension, and she delivered a low birth weight neonate prematurely at 26 4/7 weeks of gestation by cesarean due to nonreassuring fetal status. Deterioration in the fetal status may have been secondary to complications of hypertension, in addition to prematurity. CONCLUSION:Goodpasture syndrome in pregnancy may be associated with significant maternal and fetal morbidity.

journal_name

Obstet Gynecol

authors

Vasiliou DM,Maxwell C,Shah P,Sermer M

doi

10.1097/01.AOG.0000161061.35611.98

subject

Has Abstract

pub_date

2005-11-01 00:00:00

pages

1196-9

issue

5 Pt 2

eissn

0029-7844

issn

1873-233X

pii

106/5/1196

journal_volume

106

pub_type

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