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[Dermatomyositis and pregnancy]
Arturo Juárez-Azpilcueta1, Gonzalo Pol-Kipes, Gabriela Olivo-Arroyo
1Servicio de Ginecología y Obstetricia, Hospital General de México.
Gaceta Medica De Mexico
|November 26, 2003
Summary
Dermatomyositis, a rare inflammatory muscle disease, can occur during pregnancy. This case highlights a patient with a long-standing condition, emphasizing the importance of awareness for potential adverse outcomes.
Area of Science:
- Rheumatology
- Obstetrics
Background:
- Dermatomyositis is an idiopathic inflammatory myopathy characterized by muscle weakness and characteristic skin rashes.
- While it can affect individuals of any age, its occurrence during pregnancy is exceptionally rare.
Observation:
- This report details a clinical case of a 33-year-old woman with a history of dermatomyositis since infancy, presenting during term pregnancy.
- The patient exhibited a satisfactory clinical evolution despite the pregnancy.
Findings:
- Dermatomyositis is a rare condition with an incidence of approximately five cases per million population.
- Pregnancy presentation of dermatomyositis is exceptionally uncommon, with only 29 reported cases globally.
- Active dermatomyositis during pregnancy is associated with significant perinatal morbimortality (46-57%), including intrauterine growth restriction and fetal death.
Implications:
- This case underscores the rarity and potential complications of dermatomyositis in pregnancy.
- Increased awareness and careful management are crucial for improving perinatal outcomes in pregnant patients with dermatomyositis.
- Further research into the management of dermatomyositis during pregnancy is warranted to mitigate fetal and maternal risks.