Adelowo Olufemi O, Ohagwu Kenneth A, Aigbokhan Ejiehi E, Akintayo Richard O
Rheumatology Unit, Department of Internal Medicine, Lagos State University Teaching Hospital, Ikeja, Nigeria.
Rheumatology Unit, Internal Medicine Department, Federal Medical Centre, Umuahia, Nigeria.
Case Rep Rheumatol. 2017;2017:8247591. doi: 10.1155/2017/8247591. Epub 2017 Mar 13.
Neonatal lupus erythematosus (NLE) is an acquired disease of the newborn caused by transplacental transfer of maternal anti-Ro/SSA, anti-La/SSB, and infrequently anti-U1 RNP antibodies. This is a case report of a male infant delivered via Caesarean section at 36-week gestation following detection of fetal bradycardia during routine antenatal clinic visit. The mother was seropositive for antinuclear antibody (ANA) and anti-Ro/SSA and had elevated erythrocyte sedimentation rate. The baby was positive for ANA, extractable nuclear antigen (ENA), and anti-Ro/SSA. Pediatric echocardiography was abnormal and electrocardiography confirmed complete heart block.
新生儿红斑狼疮(NLE)是一种新生儿获得性疾病,由母体抗Ro/SSA、抗La/SSB抗体经胎盘转移引起,抗U1 RNP抗体则较少见。这是一例病例报告,一名男婴在常规产前检查时因检测到胎儿心动过缓,于孕36周时剖宫产娩出。母亲抗核抗体(ANA)和抗Ro/SSA血清学阳性,红细胞沉降率升高。婴儿ANA、可提取核抗原(ENA)和抗Ro/SSA阳性。儿科超声心动图检查异常,心电图确诊为完全性心脏传导阻滞。