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Case Studies | Medicine | Indonesia | Volume 10 Issue 4, April 2021 | Popularity: 6.9 / 10
Pregnancy with Systemic Lupus Erythematosus: A Case Report
Hadi Susanto, Ida Bagus Gede Fajar Manuaba
Abstract: Systemic Lupus Erythematosus (SLE) is a rare idiopathic autoimmune disease that was usually found in women of reproductive age. Pregnant women with SLE may have a higher risk of flares and pregnancy complications, including preterm birth, cesarean delivery, preeclampsia, low birth weight, intrauterine growth retardation (IUGR), congenital heart block (CHB), and intrauterine and neonatal mortality. Here we report a 33-year-old Balinese woman with a second pregnancy, controlled SLE, and history of retinal detachment. The patient was managed by a multidisciplinary team involving an obstetrician, rheumatologist, ophthalmologist, and pediatrician. The patient had methylprednisolone 4 mg once per day to control the SLE during pregnancies. Then, the drug was switched to dexamethasone 0.5 mg orally twice daily at 2 weeks before the due date. The patient routinely visited the Obstetrician and Rheumatology Polyclinic every 2 weeks. Later, the patient came to Emergency Ward and was diagnosed with premature rupture of membranes for more than 12 hours. Therefore, the cesarean section was chosen as the delivery method followed by bilateral tubectomy. The outcomes of pregnancy with SLE are very much affected by the activity of the disease. Our patient had controlled SLE before and during her pregnancy. Therefore, this patient had good pregnancy outcomes and the baby was also born healthy.
Keywords: Autoimmune, Pregnancy, Systemic Lupus Erythematosus, SLE
Edition: Volume 10 Issue 4, April 2021
Pages: 452 - 455
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Medicine, India, Volume 9 Issue 3, March 2020
Pages: 1 - 2Clinical Profile of Tuberculosis Patients in a Tertiary Care Hospital in Mangalore
Dr Avinash N Shetty, Dr. Don Gregory Mascarenhas, Dr Akshatha Rao Aroor
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Medicine, India, Volume 9 Issue 2, February 2020
Pages: 1 - 5Comparison of Thrombolysis Outcome in Early and Late Thrombolysis in Acute STEMI Patients
Dr. Uddhav Khaire, Dr. Shweta Shinde
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Medicine, India, Volume 9 Issue 6, June 2020
Pages: 69 - 73Use of Mefenamic Acid as a Supportive Treatment of COVID-19: A Repurposing Drug
Dr. R. P. Pareek
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Medicine, India, Volume 9 Issue 3, March 2020
Pages: 1327 - 1330Coronaviruses (CoVs): A Walkthrough of their Multiplication and Pathologic Process
Dr. Suman Saurabh Gupta, Dr. Juhi Kumari
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Medicine, India, Volume 9 Issue 3, March 2020
Pages: 826 - 828The Empirical Antibiotic Use in Bacterial Infection in General Hospital Jayanagar with Reference to ICMR Treatment Guidelines for Antimicrobial Use in Common Syndromes 2019
Yogendra Shrestha, Ramesh M Tambat, K. M. Veeranna Gowda