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Juvenile dermatomyositis and pregnancy: report and literature review
G da R Pinheiro1, J Goldenberg, E Atra
1Department of Medicine, Escola Paulista de Medicina, São Paulo, Brazil.
The Journal of Rheumatology
|November 1, 1992
Insights
This report details the first documented case of juvenile dermatomyositis (DM) developing during pregnancy. Both mother and infant experienced positive outcomes following an emergency cesarean delivery.
Area of Science:
- Rheumatology
- Obstetrics
- Pediatrics
Background:
- Dermatomyositis and polymyositis are rare autoimmune conditions.
- Pregnancy complicated by these myositis forms is exceptionally infrequent, with only 19 prior published cases.
Observation:
- This study presents the first reported instance of juvenile dermatomyositis (DM) onset during pregnancy.
- The pregnancy progressed to 37 weeks gestation, complicated by fetal distress.
Findings:
- An emergency cesarean section was necessitated by fetal distress.
- Both the mother diagnosed with juvenile DM and the infant demonstrated positive health outcomes at 8-month follow-up.
Implications:
- This case expands the understanding of autoimmune myopathies during gestation.
- It highlights the importance of multidisciplinary care for pregnant patients with juvenile dermatomyositis.
- Successful pregnancy outcomes are achievable with appropriate management.
Abstract:
Reports of dermatomyositis (DM) and polymyositis complicating pregnancy are rare. Only nineteen cases have been published. We describe the first case in which juvenile DM appeared during pregnancy. An emergency cesarean section had to be performed due to fetal distress at 37 weeks of gestation. Patient and infant are doing well after 8 months of followup.