Takayasu arteritis a cause of hypertensive disorder of pregnancy: a case report
Abstract Background Takayasu arteritis is a rare, chronic, granulomatous systemic vasculitis of unknown etiology and a few cases have been reported in pregnancy. In pregnancies concomitant with Takayasu arteritis or after diagnosis, Takayasu arteritis negatively affects pregnancy by increasing 13-fo...
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Format: | Article |
Language: | English |
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BMC
2018-01-01
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Series: | Journal of Medical Case Reports |
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Online Access: | http://link.springer.com/article/10.1186/s13256-017-1534-6 |
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author | Jesus Lumbreras-Marquez Roberto Arturo Castillo-Reyther Salvador De-la-Maza-Labastida Fernando Vazquez-Alaniz |
author_facet | Jesus Lumbreras-Marquez Roberto Arturo Castillo-Reyther Salvador De-la-Maza-Labastida Fernando Vazquez-Alaniz |
author_sort | Jesus Lumbreras-Marquez |
collection | DOAJ |
description | Abstract Background Takayasu arteritis is a rare, chronic, granulomatous systemic vasculitis of unknown etiology and a few cases have been reported in pregnancy. In pregnancies concomitant with Takayasu arteritis or after diagnosis, Takayasu arteritis negatively affects pregnancy by increasing 13-fold the odds of complications such as hypertensive disorders. The best recommendations in this scenario are still to be made. Case presentation We present a case of 21-year-old, gravid 1, Mexican woman of Mestizo descent with chronic hypertension diagnosed since she was 15-years old who presented severe hypertension during pregnancy (early second trimester); the diagnosis of hypertensive disorder of pregnancy was ruled out requiring first-line and second-line antihypertensive therapy without serious associated maternal or fetal morbidity. Conclusions Takayasu arteritis and pregnancy play an important role in maternal and fetal outcomes. Efforts should be made to further investigate the Takayasu arteritis diagnosis in pregnant women with refractory hypertension. |
first_indexed | 2024-12-22T15:18:10Z |
format | Article |
id | doaj.art-93523a9cc2114893b2e5dca2b7911426 |
institution | Directory Open Access Journal |
issn | 1752-1947 |
language | English |
last_indexed | 2024-12-22T15:18:10Z |
publishDate | 2018-01-01 |
publisher | BMC |
record_format | Article |
series | Journal of Medical Case Reports |
spelling | doaj.art-93523a9cc2114893b2e5dca2b79114262022-12-21T18:21:41ZengBMCJournal of Medical Case Reports1752-19472018-01-011211410.1186/s13256-017-1534-6Takayasu arteritis a cause of hypertensive disorder of pregnancy: a case reportJesus Lumbreras-Marquez0Roberto Arturo Castillo-Reyther1Salvador De-la-Maza-Labastida2Fernando Vazquez-Alaniz3Gynaecology & Obstetric Department. Hospital Central “Dr. Ignacio Morones Prieto”. Health Ministry of San Luis PotosiGynaecology & Obstetric Department. Hospital Central “Dr. Ignacio Morones Prieto”. Health Ministry of San Luis PotosiGynaecology & Obstetric Department. Hospital Central “Dr. Ignacio Morones Prieto”. Health Ministry of San Luis PotosiClinical laboratory department, Hospital General 450. Health Ministry of DurangoAbstract Background Takayasu arteritis is a rare, chronic, granulomatous systemic vasculitis of unknown etiology and a few cases have been reported in pregnancy. In pregnancies concomitant with Takayasu arteritis or after diagnosis, Takayasu arteritis negatively affects pregnancy by increasing 13-fold the odds of complications such as hypertensive disorders. The best recommendations in this scenario are still to be made. Case presentation We present a case of 21-year-old, gravid 1, Mexican woman of Mestizo descent with chronic hypertension diagnosed since she was 15-years old who presented severe hypertension during pregnancy (early second trimester); the diagnosis of hypertensive disorder of pregnancy was ruled out requiring first-line and second-line antihypertensive therapy without serious associated maternal or fetal morbidity. Conclusions Takayasu arteritis and pregnancy play an important role in maternal and fetal outcomes. Efforts should be made to further investigate the Takayasu arteritis diagnosis in pregnant women with refractory hypertension.http://link.springer.com/article/10.1186/s13256-017-1534-6Refractory hypertensionTakayasu arteritisHypertensive disorder in pregnancy |
spellingShingle | Jesus Lumbreras-Marquez Roberto Arturo Castillo-Reyther Salvador De-la-Maza-Labastida Fernando Vazquez-Alaniz Takayasu arteritis a cause of hypertensive disorder of pregnancy: a case report Journal of Medical Case Reports Refractory hypertension Takayasu arteritis Hypertensive disorder in pregnancy |
title | Takayasu arteritis a cause of hypertensive disorder of pregnancy: a case report |
title_full | Takayasu arteritis a cause of hypertensive disorder of pregnancy: a case report |
title_fullStr | Takayasu arteritis a cause of hypertensive disorder of pregnancy: a case report |
title_full_unstemmed | Takayasu arteritis a cause of hypertensive disorder of pregnancy: a case report |
title_short | Takayasu arteritis a cause of hypertensive disorder of pregnancy: a case report |
title_sort | takayasu arteritis a cause of hypertensive disorder of pregnancy a case report |
topic | Refractory hypertension Takayasu arteritis Hypertensive disorder in pregnancy |
url | http://link.springer.com/article/10.1186/s13256-017-1534-6 |
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