Management of vasculitis in pregnancy

Vasculitis in pregnancy is a rare disease-modifying effect on autoimmune connective tissue diseases such as vasculitis and that connective tissue disease can have an adverse effect on pregnancy. It is essential that pregnant women with vasculitis are managed to the highest standards of care in order...

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Main Authors: Nabnita Patnaik, Nihar Ranjan Pradhan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Indian Journal of Vascular and Endovascular Surgery
Subjects:
Online Access:http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=2;spage=119;epage=121;aulast=Patnaik
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author Nabnita Patnaik
Nihar Ranjan Pradhan
author_facet Nabnita Patnaik
Nihar Ranjan Pradhan
author_sort Nabnita Patnaik
collection DOAJ
description Vasculitis in pregnancy is a rare disease-modifying effect on autoimmune connective tissue diseases such as vasculitis and that connective tissue disease can have an adverse effect on pregnancy. It is essential that pregnant women with vasculitis are managed to the highest standards of care in order to prevent negative outcomes not only for the mother but also for the child. Vasculitis in pregnancy is probably underdiagnosed and under-reported; cases of vasculitis are rare and so disease flares may not always be recognized by a general clinician. Preconceptual counseling is critical, and assessment of disease activity, major organ involvement, and risk factors, such as hypertension and renal impairment, will help to guide both the woman and her clinicians as to the risks entailed in embarking on a pregnancy. Such patients are best catered for in multidisciplinary settings where there is access to specialized care from nephrologists, rheumatologists and respiratory medicine physicians, as well as obstetricians and pediatricians skilled in caring for complex pregnancies. This article aims to provide an approach to managing these patients with the best current evidence-based practice.
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spelling doaj.art-11e0c8a21fb04855bd6f4f4a3332f3242022-12-21T22:06:01ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992021-01-018211912110.4103/ijves.ijves_74_20Management of vasculitis in pregnancyNabnita PatnaikNihar Ranjan PradhanVasculitis in pregnancy is a rare disease-modifying effect on autoimmune connective tissue diseases such as vasculitis and that connective tissue disease can have an adverse effect on pregnancy. It is essential that pregnant women with vasculitis are managed to the highest standards of care in order to prevent negative outcomes not only for the mother but also for the child. Vasculitis in pregnancy is probably underdiagnosed and under-reported; cases of vasculitis are rare and so disease flares may not always be recognized by a general clinician. Preconceptual counseling is critical, and assessment of disease activity, major organ involvement, and risk factors, such as hypertension and renal impairment, will help to guide both the woman and her clinicians as to the risks entailed in embarking on a pregnancy. Such patients are best catered for in multidisciplinary settings where there is access to specialized care from nephrologists, rheumatologists and respiratory medicine physicians, as well as obstetricians and pediatricians skilled in caring for complex pregnancies. This article aims to provide an approach to managing these patients with the best current evidence-based practice.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=2;spage=119;epage=121;aulast=Patnaikantiphospholipid antibody syndromepregnancysystemic lupus erythematosusvasculitis
spellingShingle Nabnita Patnaik
Nihar Ranjan Pradhan
Management of vasculitis in pregnancy
Indian Journal of Vascular and Endovascular Surgery
antiphospholipid antibody syndrome
pregnancy
systemic lupus erythematosus
vasculitis
title Management of vasculitis in pregnancy
title_full Management of vasculitis in pregnancy
title_fullStr Management of vasculitis in pregnancy
title_full_unstemmed Management of vasculitis in pregnancy
title_short Management of vasculitis in pregnancy
title_sort management of vasculitis in pregnancy
topic antiphospholipid antibody syndrome
pregnancy
systemic lupus erythematosus
vasculitis
url http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=2;spage=119;epage=121;aulast=Patnaik
work_keys_str_mv AT nabnitapatnaik managementofvasculitisinpregnancy
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