Successful management of SLE with lupus nephritis with APLA (AntiPhospholipid Antibody) complicating pregnancy a case report

Naveetha N .

Abstract


Almost 90 of lupus cases are in women and its prevalence in those of child bearing age is 1 in 500. And 50 of patients have renal involvement.5 have associated thrombophilia. Active nephritis is associated with adverse outcome. However if the disease is in remission phase have good pregnancy outcome. Newly diagnosed lupus in pregnancy have adverse outcome. The maternal mortality is 1.3. A 22 yr old GRAVIDA 2 PARA1 LIVE 0 previous term intrauterine death delivered vaginally two year back with LMP -23315 EDD-301215 a known case of SLE with lupus nephritis in remission phase with APLA was successfully monitored and managed by a multidisciplinary approach in a tertiary set up.

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References


Hahn, yong 2013:SLE,Harrisons principle of internal medicine18 ed.new York,Mc graw hill 2012

Clowse 2008,ME,Jamison Meyers,E et al:A national study of complicated of lupus in pregnancy

Hom 2008, Graham RR,Modrek B et al:Association of SLE with C8orf13_BLK ITGAM ITGAX. N England J Med 358:900,2008

Fischer – Betz 2013 R specter C ,Brinker et al.;Low risk of renal flares and negative adverse outcome in women with lupus nephritis conceiveing after switching from mycophenolate mofetil to azathioprine: Rheumatology oxford 52(6) 1070,2013

Anderka 2009, Briggs 2011, FDA 2008. Andreka MT Lin AE Abuelo DN:Reviewing the evidence for mycophenolate mofetil as a new teratogen : a case report and review;149A(6):1241,2009.

Borden 2001, Harrison 2002: Borden M Parke: Antimalarial in SLE.Drug Saf 24:1055.2011

TSOKOS GC.: SLE New England J med 365(22) 2110,2011


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