Märker-Hermann E, Bauer H, Gromnica-Ihle E
Klinik Innere Medizin IV (Rheumatologie, klinische Immunologie und Nephrologie), HSK Dr. Horst Schmidt Klinik GmbH, Wiesbaden.
Dtsch Med Wochenschr. 2008 Nov;133(46):2410-4. doi: 10.1055/s-0028-1100933. Epub 2008 Nov 4.
Rheumatic diseases can influence the reproduction, the course of pregnancy and the development of the fetus. The inflammatory rheumatic disease itself can be modulated in its activity in terms of amelioration or exacerbation of the rheumatic symptoms. The associations between rheumatic diseases and pregnancy will be illustrated with rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, and systemic lupus erythematosus as examples. Antirheumatic drug therapy during pregnancy and the breast feeding period has to be adapted critically.
风湿性疾病会影响生育、妊娠过程及胎儿发育。炎性风湿性疾病本身的活动可在风湿症状改善或加重方面得到调节。将以类风湿关节炎、强直性脊柱炎、银屑病关节炎和系统性红斑狼疮为例说明风湿性疾病与妊娠之间的关联。孕期及哺乳期的抗风湿药物治疗必须严格调整。