Mendiratta Vibhu, Yadav Anukriti
Department of Dermatology, Lady Hardinge Medical College, New Delhi, India.
Indian J Sex Transm Dis AIDS. 2024 Jul-Dec;45(2):121-125. doi: 10.4103/ijstd.ijstd_100_23. Epub 2024 Oct 18.
Pregnancy with systemic lupus erythematosus (SLE) requires special attention in view of the enhanced risks to the fetus and the aggravation of SLE during pregnancy. Human immunodeficiency virus infection can further complicate the course of pregnancy as well as the outcome. We present a case of a 28-year-old primigravida who was diagnosed case of people living with HIV/AIDS and presented with SLE at 34 weeks of gestation. Subsequent evaluation of the patient revealed latent tuberculosis also. Cutaneous lesions responded well to oral corticosteroids, however, the outcome of pregnancy was hydrops fetalis. This report highlights the complex interplay of multiple comorbidities and their adverse impact on pregnancy outcome.
鉴于系统性红斑狼疮(SLE)患者怀孕时胎儿面临的风险增加以及孕期SLE病情加重,此类妊娠需要特别关注。人类免疫缺陷病毒感染会使妊娠过程及结局进一步复杂化。我们报告一例28岁初产妇,她被诊断为感染人类免疫缺陷病毒/获得性免疫综合征,在妊娠34周时出现SLE。对该患者的后续评估还发现了潜伏性结核。皮肤病变对口服皮质类固醇反应良好,但妊娠结局为胎儿水肿。本报告强调了多种合并症之间复杂的相互作用及其对妊娠结局的不利影响。