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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Main Authors: Jesus Lumbreras-Marquez, Roberto Arturo Castillo-Reyther, Salvador De-la-Maza-Labastida, Fernando Vazquez-Alaniz
Format: Article
Language:English
Published: BMC 2018-01-01
Series:Journal of Medical Case Reports
Subjects:
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.
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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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