Systemic lupus erythematosus. Association with previous neonatal lupus erythematosus

1979 ◽  
Vol 115 (3) ◽  
pp. 340-340 ◽  
Author(s):  
R. J. Fox
2019 ◽  
Vol 2 (2) ◽  
pp. 48-59
Author(s):  
Prema Hapsari Handayani

Istilah Lupus diambil dari bahasa latin yang berarti serigala dan dipakai pertama kali pada abad pertengahan untuk menggambarkan lesi kulit yang erosive yang mirip dengan gigitan serigala. Pada tahun 1846 seorang ahli  dari Vienna bernama Ferdinand von Hebra memperkenalkan istilah “kupu-kupu” untuk menggambarkan rash di daerah malar dan menyebutnya sebagai lupus erythematosus . Ilustrasi ini dipublikasikan pertama kali dalam bukunya berjudul Atlas os Skin Disease pada tahun 1856.  Lupus kemudian dibagi menjadi tiga bentuk, yaitu Discoid Lupus Erythematosus,Neonatal Lupus Erythematosus, Drug Induced Lupus dan Systemic Lupus Erythematosus.


2020 ◽  
Vol 24 (2) ◽  
pp. 88-95
Author(s):  
T. V. Kirsanova ◽  
N. F. Kravchenko ◽  
A. I. Balakireva

The ability to realize the reproductive function for both patients with systemic lupus erythematosus and patients with a different cause of chronic kidney disease is rightfully considered as one of the most important achievements of modern medicine. The work describes the pregnancy case of the patient with systemic lupus erythematosus and secondary antiphospholipid syndrome. Renal damage with the development of renal thrombotic microangiopathy came to the fore in the clinical picture, which was regarded as nephritis and complicated the diagnosis of systemic lupus erythematosus. A positive pregnancy outcome was achieved with the development of neonatal lupus erythematosus in one twin child. The options for the prevention and treatment of thrombotic complications as well as methods for minimizing gestational complications (including preeclampsia, which the patient had in history) are discussed, inter alia, with the purposed of low-molecular-weight heparins and acetylsalicylic acid preparations. Treatment options are also described to improve the outcome of such pregnancies and to decrease the symptoms of neonatal lupus erythematosus using hydroxychloroquine. The article summarizes current management approaches for these patients with special attention to the interdisciplinary approach.


Author(s):  
Carla Eugenia Arenas Alvarez ◽  
Juan Carlos Marin Mireles ◽  
Hebert Israel Flores Leal ◽  
Ana Norma Griselda Becerril Gonzalez ◽  
Carlos Mario Guzman Sanchez

Aims: To describe a case of neonatal lupus and complete atrioventricular block in Mexico. Presentation of case: A 38 years old pregnant patient at  28 + 6 weeks of gestational age, diagnosed with systemic lupus erythematosus six years ago, under treatment with hydroxychloroquine and prednisone, this was suspended eight months prior to pregnancy; and resumed at week 20 of gestational age. The ultrasound scan showed alive fetus, female, polyhydramnios and bradycardia. Fetal echocardiography confirmed complete atrioventricular block, without organic and structural alterations at the cardiac level. Furthermore, the immunological panel reports, positive anti-Ro antibodies. At week 33 of gestational age, the patient was admitted to the obstetric emergency room, through colic type pain and 4 cm dilation of the cervix. Alive newborn got vaginally with a weight of 1,990 g, a height of 43 cm and APGAR 8-9. Echocardiography confirmed congenital complete third degree atrioventricular block; without structural abnormalities. Discussion: Patients with systemic lupus erythematosus, are more likely to have complications during pregnancy. Neonatal lupus is a rare disorder with an incidence of 1:10,000 - 1:20,000 newborns. This is caused by the transplacental passage of maternal autoantibodies anti-SSA / Ro and/or anti-SSB / La. Besides Atrioventricular block is a complication of neonatal lupus, occurring in approximately 2% of newborns of mothers who have SSA or SSB antibodies. The most interesting finding is that 20% fetal mortality has been for this cause. Conclusion: The described case is important for its rarity. Besides, the imaging findings and immunological panel emphasized the relevance about complete and adequate evaluation of the fetus, in the context of a mother with systemic lupus erythematosus.


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