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[Pregnancy and vasculitides]
1Pôle de Médecine Interne, Centre de Référence Groupe I Maladies Rares, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Université Paris Descartes, Paris Cedex 14, France. christian.pagnoux@cch.aphp.fr
Systemic vasculitides can affect women of childbearing age. While pregnancy may not significantly impact vasculitis, specialized management is crucial for optimal maternal and fetal outcomes.
Area of Science:
- Rheumatology and Immunology
- Maternal-Fetal Medicine
- Systemic Autoimmune Diseases
Context:
- Systemic vasculitides affect women of childbearing potential.
- Pregnancies in these patients are rare due to disease rarity, historical fatality, and toxic treatments.
- Pregnancy may not significantly alter vasculitis course, unlike lupus, but requires specialized care.
Purpose:
- To review the management of pregnancy in women with systemic vasculitis.
- To highlight the importance of pre-conception planning and disease remission.
- To discuss treatment options and safety considerations during pregnancy.
Summary:
- Pregnancy can reveal or occur in women with systemic vasculitis, necessitating careful monitoring.
- Planned pregnancies during disease remission with cessation of toxic immunosuppressants are ideal.
- Management involves addressing vasculitis sequelae and selecting appropriate treatments, balancing risks and benefits.
Impact:
- Highlights the need for multidisciplinary care for pregnant women with vasculitis.
- Informs clinical practice regarding treatment choices and timing during pregnancy.
- Emphasizes the importance of risk-benefit assessment for immunosuppressive therapies in this population.
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