medigraphic.com
SPANISH

Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2023, Number 09

<< Back Next >>

Ginecol Obstet Mex 2023; 91 (09)

Coincidence of Rhupus and pregnancy. Case report

Orozco AJJ, Sarmiento LE, Lugo SRR, Chávez PVM
Full text How to cite this article

Language: Spanish
References: 10
Page: 711-714
PDF size: 329.57 Kb.


Key words:

Lupus Erythematosus, Systemic, Arthritis, Rheumatoid, Rhupus, Pregnancy, Rare disease.

ABSTRACT

Background: Although systemic lupus erythematosus and rheumatoid arthritis are sufficiently described diseases, the association of these is not, and is called rhupus, which refers to the clinical manifestation resulting from both diseases masked, making diagnosis and treatment difficult.
Clinical case: 37-year-old patient who started with a clinical picture with features of systemic lupus erythematosus and rheumatoid arthritis 16 years ago. She was found to have alterations in laboratory studies and radiological findings that supported the diagnosis of rheupus. Therefore, the evolution of this condition is documented, which coincides with and after her pregnancy.
Conclusions: The simultaneous occurrence of systemic lupus erythematosus and rheumatoid arthritis, even though it was reported decades ago, is a rare disease in frequency, so there is scarce information on rhupus alone and even more so in coincidence with pregnancy.


REFERENCES

  1. Vázquez Flores AD, Vázquez Flores J, Zaldivar ClavellinaAK, Cortés Contreras DK, et al. Rhupus. Med Int Méx.

  2. 2014;30(6):734-737. https://www.medigraphic.com/pdfs/medintmex/mim-2014/mim146n.pdf2. Simón JA, Granados J, Cabiedes J, Ruíz Morales J, et al.Clinical and Immunogenetic Characterization of MexicanPatients with “Rhupus”. Lupus. 2002;11(5):287-292.https://doi.org/10.1191/0961203302lu189oa

  3. Amezcua Guerra LM. Overlap between systemic lupuserythematosus and rheumatoid arthritis: Is it real or justan illusion? J Rheumatol. 2009; 36(1):4-6. https://doi.org/10.3899/jrheum.081067

  4. Solis Cartas U, Martínez Larrarte JP, Prada Hernández DM,Gómez Morejón JA, et al. Síndrome de Rhupus. Una superposicióninfrecuente. Rev Col Reumatol. 2017;24(4):237-241. https://doi.org/10.1016/j.rcreu.2017.05.005

  5. Benavente EPI, Paira SO. Rhupus: descripción de 4casos. Reumatol Clin. 2011;7(5):333-335. https://doi.org/10.1016/j.reuma.2010.12.006

  6. Frade Sosa B, Narváez J, Salman Monte TC, CastellanosMoreira R, et al. A comparative study on clinical andserological characteristics between patients with rhupusand those with systemic lupus erythematosus and rheumatoidarthritis. Lupus. 2020;29(10):1216-1226. https://doi.org/10.1177/0961203320938456

  7. Antonini L, Le Mauff B, Marcelli C, Aouba A, et al.Rhupus: a systematic literature review. AutoimmunRev. 2020;19(9):102612. https://doi.org/10.1016/j.autrev.2020.102612

  8. Liu, T.; Li, G.; Mu, R.; Ye, H.; Li, W.; Li, Z. (2014). Clinicaland laboratory profiles of rhupus syndrome in a Chinesepopulation: a single-centre study of 51 patients. Lupus,23(9), 958–963. doi:10.1177/0961203314526439

  9. Sundaramurthy SG, Karsevar MP, van Vollenhoven RF.Influence of hormonal events on disease expression in patientswith the combination of systemic lupus erythematosusand rheumatoid arthritis. J Clin Rheumatol. 1999;5(1):9-16. https://doi.org/10.1097/00124743-199902000-00002

  10. Doria A, Iaccarino L, Arienti S, Ghirardello A, et al. Th2immune deviation induced by pregnancy: The two facesof autoimmune rheumatic diseases. Reproductive Toxicology.2006;22(2):234-241. https://doi.org/10.1016/j.reprotox.2006.04.001




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Ginecol Obstet Mex. 2023;91