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Takayasu's arteritis in pregnancy: review of literature and discussion
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Evelyn Hauenstein
Published/Copyright:
August 13, 2009
Abstract
Takayasu's arteritis (TA) is a rare inflammatory disease of the arteries that affects women of childbearing age. The optimal management for pregnant patients with this disease has not yet been defined. The course of disease seems to be neither affected nor worsened by pregnancy. We could not find reported maternal deaths directly related to pregnancy. However, many authors report maternal as well as fetal unfavorable events in the course of pregnancy. We describe a 25-year-old primigravida of Turkish-Greek origin who presented at 30 weeks of pregnancy with active TA. In the 37th week, intrauterine fetal death occurred. Our patient did not show high blood pressure or aortic inflammation. The course of her disease was stable. Whether a newly diagnosed TA during pregnancy should be regarded as an indication for premature delivery is discussed. An interdisciplinary collaboration of rheumatologists, nephrologists and obstetricians is necessary to improve maternal and fetal prognosis.
Received: 2009-1-19
Revised: 2009-5-2
Accepted: 2009-5-30
Published Online: 2009-08-13
Published Online: 2009-08-13
Published in Print: 2010-01-01
©2010 by Walter de Gruyter Berlin New York
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Keywords for this article
Childbearing age;
pregnancy;
resistance index (RI);
Takayasu's arteritis (TA)
Articles in the same Issue
- The Declaration of Dubrovnik
- The prediction and prevention of preterm birth and its consequences: an unmet challenge to perinatal medicine, science and society
- Original articles – Obstetrics
- Women's attitudes to and perceptions of oral health and dental care during pregnancy
- Low circulating maternal adiponectin in patients with pyelonephritis: adiponectin at the crossroads of pregnancy and infection
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