New-Onset Systemic Lupus Erythematosus during Pregnancy: A Case Report

Introduction: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that involves multiple organs. Pregnant women previously diagnosed with SLE are at risk of experiencing gestational complications. However, cases of initial SLE manifestation during pregnancy are rare.Case Presentation:...

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Main Authors: Golnaz Mahmoudvand, Hamze Ali Torang, Arian Karimi Rouzbahani
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2023-07-01
Series:Women’s Health Bulletin
Subjects:
Online Access:https://womenshealthbulletin.sums.ac.ir/article_49500_b57d2636383a4274410416b91c437390.pdf
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author Golnaz Mahmoudvand
Hamze Ali Torang
Arian Karimi Rouzbahani
author_facet Golnaz Mahmoudvand
Hamze Ali Torang
Arian Karimi Rouzbahani
author_sort Golnaz Mahmoudvand
collection DOAJ
description Introduction: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that involves multiple organs. Pregnant women previously diagnosed with SLE are at risk of experiencing gestational complications. However, cases of initial SLE manifestation during pregnancy are rare.Case Presentation: A 45-year-old pregnant woman (G7P2Ab4) was admitted to Shahid Rahimi Hospital in Khorramabad, Iran, in the 29th week of gestation due to thrombocytopenia. The patient had received a diagnosis of SLE during a routine prenatal visit but had not responded to the prescribed medications. After a comprehensive clinical and paraclinical evaluation, the patient was treated with pulse intravenous methylprednisolone, followed by prednisolone, dramatically improving her clinical condition.Conclusion: Diagnosing and managing SLE during pregnancy can be controversial. An accurate evaluation of the patient’s clinical condition is essential for determining the most effective treatment strategy. A multidisciplinary approach is necessary to ensure the best possible outcomes for the mother and the fetus.
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spelling doaj.art-da48be4cff5741ceb987eea4d8b792992023-10-01T07:55:23ZengShiraz University of Medical SciencesWomen’s Health Bulletin2345-51362382-99902023-07-0110321021310.30476/whb.2023.98872.123149500New-Onset Systemic Lupus Erythematosus during Pregnancy: A Case ReportGolnaz Mahmoudvand0Hamze Ali Torang1Arian Karimi Rouzbahani2USERN Office, Lorestan University of Medical Sciences, Khorramabad, IranDepartment of Internal Medicine, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, IranUSERN Office, Lorestan University of Medical Sciences, Khorramabad, IranIntroduction: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that involves multiple organs. Pregnant women previously diagnosed with SLE are at risk of experiencing gestational complications. However, cases of initial SLE manifestation during pregnancy are rare.Case Presentation: A 45-year-old pregnant woman (G7P2Ab4) was admitted to Shahid Rahimi Hospital in Khorramabad, Iran, in the 29th week of gestation due to thrombocytopenia. The patient had received a diagnosis of SLE during a routine prenatal visit but had not responded to the prescribed medications. After a comprehensive clinical and paraclinical evaluation, the patient was treated with pulse intravenous methylprednisolone, followed by prednisolone, dramatically improving her clinical condition.Conclusion: Diagnosing and managing SLE during pregnancy can be controversial. An accurate evaluation of the patient’s clinical condition is essential for determining the most effective treatment strategy. A multidisciplinary approach is necessary to ensure the best possible outcomes for the mother and the fetus.https://womenshealthbulletin.sums.ac.ir/article_49500_b57d2636383a4274410416b91c437390.pdfsystemic lupus erythematosusconnective tissue diseasepregnancythrombocytopenia
spellingShingle Golnaz Mahmoudvand
Hamze Ali Torang
Arian Karimi Rouzbahani
New-Onset Systemic Lupus Erythematosus during Pregnancy: A Case Report
Women’s Health Bulletin
systemic lupus erythematosus
connective tissue disease
pregnancy
thrombocytopenia
title New-Onset Systemic Lupus Erythematosus during Pregnancy: A Case Report
title_full New-Onset Systemic Lupus Erythematosus during Pregnancy: A Case Report
title_fullStr New-Onset Systemic Lupus Erythematosus during Pregnancy: A Case Report
title_full_unstemmed New-Onset Systemic Lupus Erythematosus during Pregnancy: A Case Report
title_short New-Onset Systemic Lupus Erythematosus during Pregnancy: A Case Report
title_sort new onset systemic lupus erythematosus during pregnancy a case report
topic systemic lupus erythematosus
connective tissue disease
pregnancy
thrombocytopenia
url https://womenshealthbulletin.sums.ac.ir/article_49500_b57d2636383a4274410416b91c437390.pdf
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AT ariankarimirouzbahani newonsetsystemiclupuserythematosusduringpregnancyacasereport