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Pregnancy outcome in Takayasu arteritis
  1. Papa Dasari and
  2. Hima Swetha Gummadi
  1. Obstetrics and Gynaecology, JIPMER, Puducherry, Tamil Nadu, India
  1. Correspondence to Professor Papa Dasari; dasaripapa{at}gmail.com

Abstract

A young pregnant woman, G2P1L1, was admitted for safe confinement at 40 weeks of gestation with Takayasu arteritis. She was diagnosed with Takayasu arteritis in 2016 when she had polyarthritis, hypertension and asymmetrical peripheral pulses. Her CT angiogram showed involvement of branches of aortic arch and coeliac trunk. She had mild pulmonary hypertension and was classified as type V disease (P)+. She was started on immunosuppressant medication and achieved a fair control of symptoms and disease activity. She gave history of treatment for pulmonary tuberculosis for 6 months in 2016 after which she developed polyarthralgia. She is currently asymptomatic and had mild hypertension that was controlled. She was evaluated for evidence of aneurysms/thrombus/aortic insufficiency and taken up for elective caesarean in view of type V disease. Maternal and perinatal outcome was good and she was discharged on her regular medication as per immunology opinion.

  • cardiovascular medicine
  • hypertension
  • immunology
  • TB and other respiratory infections
  • obstetrics and gynaecology

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Footnotes

  • Contributors PD: managed the case by giving antenatal care and by multidisciplinary discussions. Edited the manuscript and revision. HSG: initial drafting of the article and collection of patient data. Review—references.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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