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一名年轻女性反复出现的孕早期流产:高安动脉炎的罕见表现。

Recurrent first-trimester abortion in a young female: Rare presentation of Takayasu arteritis.

作者信息

Gupta Suruchi, Chhabra Puneet, Gupta Nikhil, Aggarwal Parul

机构信息

Department of Obstetrics and Gynecology, Safdurjung Hospital, New Delhi, India.

Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

J Family Med Prim Care. 2016 Jul-Sep;5(3):719-721. doi: 10.4103/2249-4863.197291.

Abstract

Takayasu arteritis (TA) is a chronic, progressive, autoimmune, idiopathic, and large-vessel vasculitis that usually affects young adults, especially females. TA primarily affects the aorta and its major branches, the coronary arteries, and the pulmonary arteries. Recurrent pregnancy loss is usually defined as three or more consecutive losses occurring at <20 weeks' gestation of a clinically recognized pregnancy. Common causes of recurrent fetal loss include anatomic, chromosomal, hormonal, infectious, or antiphospholipid antibody syndrome. However, to the best of our knowledge, TA causing recurrent fetal loss has not been described in the literature. We present such a rare case of a patient who presented with hemoptysis as her presenting complaint and also had a recurrent first-trimester abortion.

摘要

高安动脉炎(TA)是一种慢性、进行性、自身免疫性、特发性大血管血管炎,通常影响年轻成年人,尤其是女性。TA主要累及主动脉及其主要分支、冠状动脉和肺动脉。复发性流产通常定义为在临床确认妊娠的<20周妊娠期发生三次或更多次连续流产。复发性胎儿丢失的常见原因包括解剖学、染色体、激素、感染或抗磷脂抗体综合征。然而,据我们所知,文献中尚未描述TA导致复发性胎儿丢失的情况。我们报告了这样一例罕见病例,该患者以咯血为主要症状就诊,且在孕早期反复流产。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dcf/5290795/6f1ea620e6d1/JFMPC-5-719-g001.jpg

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