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Beyond Systemic Lupus Erythematosus and Anti-Phospholipid Syndrome: The Relevance of Complement From Pathogenesis to Pregnancy Outcome in Other Systemic Rheumatologic Diseases.超越系统性红斑狼疮和抗磷脂综合征:补体在其他系统性风湿性疾病中从发病机制到妊娠结局的相关性
Front Pharmacol. 2022 Feb 15;13:841785. doi: 10.3389/fphar.2022.841785. eCollection 2022.
2
Association of various myositis-specific autoantibodies with dermatomyositis and polymyositis triggered by pregnancy.各种肌炎特异性自身抗体与妊娠诱发的皮肌炎和多发性肌炎的关系。
Rheumatol Int. 2022 Jul;42(7):1271-1280. doi: 10.1007/s00296-021-04851-1. Epub 2021 Apr 10.
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Pregnancy outcomes in adult patients with dermatomyositis and polymyositis.成年皮肌炎和多发性肌炎患者的妊娠结局。
Semin Arthritis Rheum. 2018 Jun;47(6):865-869. doi: 10.1016/j.semarthrit.2017.11.005. Epub 2017 Nov 20.
4
A Case of New-Onset Dermatomyositis in the Second Trimester of Pregnancy: A Case Report and Review of the Literature.妊娠中期新发皮肌炎一例:病例报告及文献复习
Case Rep Obstet Gynecol. 2016;2016:6430156. doi: 10.1155/2016/6430156. Epub 2016 Jul 10.
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A rare case of dermatomyositis revealed during pregnancy with good outcome.孕期发现的一例罕见皮肌炎,结局良好。
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Hysteroscopic sterilization in immunocompromised patients who have intrauterine devices in place: two case reports.有宫内节育器的免疫功能低下患者的宫腔镜绝育术:两例病例报告。
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Autoimmune diseases and pregnancy: analysis of a series of cases.自身免疫性疾病与妊娠:一系列病例分析
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Juvenile dermatomyositis in pregnancy.妊娠期青少年皮肌炎
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Anesthetic management for cesarean delivery in a pregnant woman with polymyositis: A case report and review of literature.一名患有多发性肌炎的孕妇剖宫产的麻醉管理:病例报告及文献综述
Cases J. 2009 Nov 29;2:9107. doi: 10.1186/1757-1626-2-9107.
10
Intravenous immunoglobulin treatment for pregnancy-associated dermatomyositis.静脉注射免疫球蛋白治疗妊娠相关性皮肌炎。
Rheumatol Int. 2011 Jan;31(1):113-5. doi: 10.1007/s00296-009-1166-2. Epub 2009 Oct 21.

本文引用的文献

1
Successful treatment of dermatomyositis during pregnancy with intravenous immunoglobulin monotherapy.孕期皮肌炎采用静脉注射免疫球蛋白单一疗法成功治疗。
Obstet Gynecol. 2007 Feb;109(2 Pt2):561-3. doi: 10.1097/01.AOG.0000253244.45837.7c.
2
Pregnancy outcome in idiopathic inflammatory myopathy.特发性炎性肌病的妊娠结局
Rheumatol Int. 2007 Mar;27(5):435-9. doi: 10.1007/s00296-006-0239-8.
3
A case of autoimmune myopathy in pregnancy.
Indian J Med Sci. 2005 Mar;59(3):109-12.
4
Association of rheumatologic disease with preeclampsia.
Obstet Gynecol. 2004 Jun;103(6):1190-3. doi: 10.1097/01.AOG.0000126279.87151.e1.
5
Dermatomyositis developing in the first trimester of pregnancy.妊娠头三个月发生的皮肌炎。
Korean J Intern Med. 2003 Sep;18(3):196-8. doi: 10.3904/kjim.2003.18.3.196.
6
Pregnancy outcome in adult-onset idiopathic inflammatory myopathy.
Rheumatology (Oxford). 2003 Oct;42(10):1168-72. doi: 10.1093/rheumatology/keg318. Epub 2003 May 30.
7
Severe perturbations of the blood T cell repertoire in polymyositis, but not dermatomyositis patients.多发性肌炎患者的血液T细胞库存在严重紊乱,但皮肌炎患者不存在。
J Immunol. 2001 Sep 15;167(6):3521-9. doi: 10.4049/jimmunol.167.6.3521.
8
A case of dermatomyositis that developed after delivery: the involvement of pregnancy in the induction of dermatomyositis.产后发生的皮肌炎病例:妊娠在皮肌炎诱发中的作用。
Br J Dermatol. 1999 Nov;141(5):897-900. doi: 10.1046/j.1365-2133.1999.03165.x.
9
Acute onset of dermatomyositis presenting in pregnancy with rhabdomyolysis and fetal loss.妊娠期间出现的急性皮肌炎伴横纹肌溶解症及胎儿丢失。
Scand J Rheumatol. 1999;28(3):192-4. doi: 10.1080/03009749950154301.
10
Polymyositis and pregnancy: report of a case with three pregnancies.多发性肌炎与妊娠:一例三次妊娠病例报告
J Neurol Neurosurg Psychiatry. 1998 Mar;64(3):406. doi: 10.1136/jnnp.64.3.406.

妊娠期间的自身免疫性炎性肌病

Autoimmune inflammatory myopathy in pregnancy.

作者信息

Chopra Seema, Suri Vanita, Bagga Rashmi, Thami Meenakshi R, Sharma Aman, Bambery Pardeep

机构信息

Department of Gynecology and Obstetrics, PGIMER, Chandigarh, India.

出版信息

Medscape J Med. 2008 Jan 24;10(1):17.

PMID:18324327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2258467/
Abstract

Autoimmune diseases such as systemic sclerosis, Wegner's granulomatosis, and polyarteritis nodosa are rarely seen in pregnancy, unlike systemic lupus erythematosus, whose association with pregnancy is well studied. Dermatomyositis is a protean disease that affects women in reproductive age. There are only a few case reports documenting the outcome of pregnancy in patients with dermatomyositis/polymyositis. The disease is usually considered to have an adverse effect on pregnancy. Fetal prognosis is guided by the severity of maternal disease and is usually good when the disease remains inactive during pregnancy.

摘要

自身免疫性疾病,如系统性硬化症、韦格纳肉芽肿病和结节性多动脉炎,在妊娠期间很少见,这与系统性红斑狼疮不同,后者与妊娠的关联已得到充分研究。皮肌炎是一种表现多样的疾病,影响育龄女性。仅有少数病例报告记录了皮肌炎/多肌炎患者的妊娠结局。该病通常被认为会对妊娠产生不利影响。胎儿预后取决于母体疾病的严重程度,当疾病在孕期保持不活动状态时,预后通常良好。