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尽管在妊娠早期间质性肺疾病急性加重,但患有临床无肌病性皮肌炎的患者仍成功分娩。

Successful delivery in a patient with clinically amyopathic dermatomyositis during pregnancy despite first-trimester acute exacerbation of interstitial lung disease.

作者信息

Ochiai Moeko, Sato Eri, Tanaka Eiichi, Tochihara Mari, Shimizu Yoko, Osawa Hikota, Sidara Kumi, Sugimoto Naoki, Hoshi Daisuke, Kawaguchi Yasushi, Taniguchi Atsuo, Yamanaka Hisashi

机构信息

a Institute of Rheumatology, Tokyo Women's Medical University , Tokyo , Japan.

出版信息

Mod Rheumatol. 2017 Mar;27(2):364-368. doi: 10.3109/14397595.2014.975906. Epub 2015 Jan 25.

Abstract

A 37-year-old woman with rheumatoid arthritis and interstitial lung disease (ILD) developed clinically amyopathic dermatomyositis (CADM) after achieving pregnancy through in vitro fertilization. She was given oral prednisolone, which improved her respiratory status, and delivered a healthy baby at 35 weeks' gestation. There are few reports of successful outcomes for CADM during pregnancy; to the best of our knowledge, this is the first report of successful delivery in a patient with both CADM and ILD.

摘要

一名患有类风湿性关节炎和间质性肺病(ILD)的37岁女性,通过体外受精成功怀孕后患上了临床无肌病性皮肌炎(CADM)。她接受了口服泼尼松龙治疗,呼吸状况有所改善,并在妊娠35周时产下一名健康婴儿。关于妊娠期CADM成功结局的报道很少;据我们所知,这是首例同时患有CADM和ILD的患者成功分娩的报告。

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