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Analyses of Proteinuria, Renal Infiltration of Leukocytes, and Renal Deposition of Proteins in Lupus-prone MRL/lpr Mice
Published on: June 8, 2022
[Systemic lupus erythematosus and pregnancy]
Tamás Gáti1, Attila Pajor, Pál Géher
1Semmelweis Egyetem, Altalános Orvostudományi Kar, Budai Irgalmasrendi Kórház, III. Belgyógyászati Klinika, Reumatológiai és Fizioterápiás Tanszéki Csoport, Budapest. tomgati@gmail.com
Systemic Lupus Erythematosus (SLE) in pregnancy requires careful management. Early diagnosis and multidisciplinary care improve outcomes for mothers and newborns, reducing risks like miscarriage and preterm birth.
Area of Science:
- Rheumatology
- Obstetrics
- Immunology
Context:
- Systemic Lupus Erythematosus (SLE) disproportionately affects women of reproductive age.
- Pregnancy in women with SLE is associated with increased risks of adverse outcomes, including miscarriage, preeclampsia, and fetal growth restriction.
Purpose:
- To review current diagnostic and therapeutic strategies for managing SLE during pregnancy.
- To highlight the importance of multidisciplinary care involving obstetricians and rheumatologists.
- To discuss advancements in treatment, including biological therapies and stem cell treatments.
Summary:
- Pregnancy in SLE patients necessitates careful monitoring due to elevated risks of complications.
- Antiphospholipid antibodies are strongly linked to spontaneous abortions.
- Differentiation between physiological pregnancy changes and SLE flares is crucial.
- Antithrombotic therapy improves outcomes in antiphospholipid syndrome.
- Neonatal SLE, though rare, carries high morbidity and mortality; prophylactic treatments show promise.
Impact:
- Optimized prenatal care and timely interventions can significantly improve maternal and fetal outcomes in SLE pregnancies.
- Enhanced understanding of SLE pathophysiology during pregnancy guides therapeutic advancements.
- Multidisciplinary management strategies are essential for reducing complications and ensuring healthy births.
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