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Related Concept Videos

Autoimmune Disorders01:29

Autoimmune Disorders

Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune system...
Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
Nephrotic Syndrome I : Introduction01:24

Nephrotic Syndrome I : Introduction

Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of fluid...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Nephrotic Syndrome II : Assessment and Medical Management01:26

Nephrotic Syndrome II : Assessment and Medical Management

IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document any history...
Teratogenicity01:07

Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...

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Related Experiment Video

Updated: Jun 29, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
04:44

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease

Published on: June 16, 2020

[Pregnancy in systemic sclerosis].

Alice Bérezné1, Luc Mouthon

  • 1Faculté de Médecine, UPRES EA 4058, Pôle de Médecine Interne, Centre de Référence Maladies Auto-Immunes Systémiques Rares, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Université Paris Descartes, Paris Cedex 14, France. alice.berezne@cch.aphp.fr

Presse Medicale (Paris, France : 1983)
|October 8, 2008
PubMed
Summary

Pregnancies in systemic sclerosis (SSc) patients require careful planning. While risks exist, such as preterm birth, planning pregnancies during stable disease phases and multidisciplinary care can improve outcomes.

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Area of Science:

  • Rheumatology
  • Obstetrics
  • Maternal-Fetal Medicine

Context:

  • Systemic sclerosis (SSc) historically posed high risks for pregnancy outcomes.
  • Previous studies indicated increased preterm births and small for gestational age infants in SSc pregnancies.
  • Miscarriage and neonatal survival rates were comparable to healthy controls.

Purpose:

  • To review the risks and management strategies for pregnancies in patients with systemic sclerosis.
  • To provide guidance on optimizing maternal and fetal outcomes in SSc pregnancies.

Summary:

  • Pregnancies in SSc patients carry risks, notably scleroderma renal crisis, managed with ACE inhibitors despite teratogenicity concerns.
  • Optimal pregnancy timing involves planning during stable disease phases, avoiding conception in rapidly progressing diffuse SSc.
  • Safe medications include hydroxychloroquine and low-dose steroids; multidisciplinary care is essential for risk minimization.

Impact:

  • Highlights the importance of planned pregnancies in SSc for improved maternal and fetal well-being.
  • Emphasizes the critical role of a multidisciplinary approach in managing SSc pregnancies.
  • Informs clinical practice regarding medication use and disease monitoring during pregnancy in SSc patients.