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抗SS - A抗体与母亲系统性红斑狼疮的胎儿结局

Anti-SS-A antibodies and fetal outcome in maternal systemic lupus erythematosus.

作者信息

Ramsey-Goldman R, Hom D, Deng J S, Ziegler G C, Kahl L E, Steen V D, LaPorte R E, Medsger T A

出版信息

Arthritis Rheum. 1986 Oct;29(10):1269-73. doi: 10.1002/art.1780291013.

DOI:10.1002/art.1780291013
PMID:3490264
Abstract

In 155 women with systemic lupus erythematosus, there were no significant differences in the rates of fertility or adverse fetal outcome between the 47 (30%) with serum anti-SS-A antibody and the 108 without anti-SS-A, except in the frequency of congenital heart block. This complication occurred in 6 of 96 pregnancies in women with anti-SS-A and was associated with high-titer maternal antibody. The overall risk of a woman with lupus having an infant with congenital heart block was estimated to be 1:60, but the risk was considerably higher (1:20) if anti-SS-A antibody was present.

摘要

在155例系统性红斑狼疮女性患者中,47例(30%)血清抗SS - A抗体阳性者与108例抗SS - A抗体阴性者在生育能力或不良胎儿结局发生率方面无显著差异,但先天性心脏传导阻滞的发生率除外。这种并发症在抗SS - A抗体阳性女性的96次妊娠中有6例发生,且与母体高滴度抗体有关。狼疮女性生育先天性心脏传导阻滞婴儿的总体风险估计为1:60,但如果存在抗SS - A抗体,风险则显著更高(1:20)。

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