Neurolupus and pregnancy: An ethical and therapeutic dilemma in a second level hospital / Neurolupus y embarazo: un dilema ético y terapéutico en un hospital de segundo nivel
Rev. colomb. reumatol
; 23(3): 223-226, jul.-set. 2016. ilus
Article
in English
| LILACS
| ID: biblio-960216
Responsible library:
CO356.9
ABSTRACT
Optic neuritis secondary to systemic lupus erythematosus is a rare manifestation with a prevalence of 1%. The case described concerns a patient who presented with optic neuritis associated with SLE. She was 19 weeks pregnant, and required pulses with methyl-prednisolone and cyclophosphamide, which are within the category D drugs used during pregnancy. Three weeks later, she presented with uterine activity, and went into labor, with a fetus of 22 weeks gestation and weighing 430 g being obtained, which died 48 h later. In medical practice there are ethical guidelines and economic obstacles to carrying out diagnostic and therapeutic protocols established by limiting clinical practice
RESUMEN
La neuritis óptica secundaria a lupus eritematoso sistémico es una rara manifestación con una prevalencia del 1%. Presentamos el caso de una paciente que mostró neuritis óptica asociada a lupus eritematoso sistémico, con 19 semanas de gestación, requiriendo de pulsos de metilprednisolona y ciclofosfamida, que se encuentran dentro de los medicamentos categoría D utilizados durante el embarazo. Tres semanas después presentó actividad uterina y posteriormente trabajo de parto obteniéndose un producto de 22 semanas de gestación y 430 g, falleciendo a las 48 h. En la práctica médica existen lineamientos éticos y obstáculos económicos que limitan la realización de protocolos diagnósticos y terapéuticos establecidos, limitando la práctica clínica
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Optic Neuritis
/
Lupus Erythematosus, Systemic
Type of study:
Practice guideline
/
Risk factors
Aspects:
Ethical aspects
Limits:
Humans
Language:
English
Journal:
Rev. colomb. reumatol
Journal subject:
Rheumatology
Year:
2016
Document type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Hospital Regional de Alta Especialidad Dr. Gustavo A. Rovirosa Pérez/MX