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2003, Number 5

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Gac Med Mex 2003; 139 (5)

Dermatomyositis and Pregnancy

Juárez-Azpilcueta A, Pol-Kipes G, Olivo-Arroyo G, Ortiz-Pavón A, Coronel-Cruz F
Full text How to cite this article

Language: Spanish
References: 10
Page: 509-511
PDF size: 37.54 Kb.


Key words:

pregnancy, prematurity, dermatomyositis.

ABSTRACT

Introduction: Dermatomyositis is a disorder known as a pathology whose etiology remains unknown. It can occur at any age with clinical symptoms of weakness and wasting, especially of the proximal musculature, due to inflammatory infiltration of muscles and destruction of muscle fibers. It is exceptionally seen during pregnancy, conditioning adverse effects in pregnant women.
Objective: The principal objective here is the presentation of a clinical case of dermatomyositis during pregnancy.
Case report: Women of 33 years of age with term pregnancy, suffering from dermatomyositis from infancy, with satisfactory evolution.
Conclusion: Dermitomyositis is a pathology of unknown origin whose incidence averages five cases in one million habitants with exeptional presentation during pregnancy. There are 29 case reports in the world literature. Perinatal morbimortality lies between 46 and 57% in case of activity. Fetal morbidity consists of intrauterine growth restriction prematurely and fetal death. Dermatomyositis has been associated with neoplasm LES and collagen disorders.


REFERENCES

  1. 1 Harris A; Webley M, Usherwood M, et al. Dermatomyosistis presenting in pregnancy. Br J Dermatol 1995;133:783-785.

  2. Ishii N, Ono M, Kawaguchi T, et al. Dermatomyosistis and pregnancy, case report and review of the literature. Dermatologica 1991;183:146-149.

  3. lzumi HK, Seishirna M, Ichiki Y, et al. A case of dermatomyoistis that developed after delivery die involvement of pregnancy in tile induction of dermatomyosistis Br J Dematol 1999;141:897-900.

  4. King CR, Chow S. Dermatomyosistis and pregnancy. Obstet Gynecol 1985;66:589-592.

  5. Gutierrez G, Dagnino R, Mintz G. Polymyosistis dermatomyositis in pregnancy Arthritis Rheum 1984;27:291-294.

  6. Houck WL, Melnyck C, Gast JM. Polymyosistis in Pregnancy. A case report and review literature. J Reproduce Med 1987;32:208-210.

  7. Henley WL. Autoinmunity and autoinmune diseases. En: Fetal and neonatal effects of maternal disease, Edit.. Mannning, 1995.

  8. Lennet O, Wettrel G, Bjorkhrn I, et al. Predniso1one excretion into human mil. J Pediatr 1985;106:1008-1011.

  9. Zavaleta CD, Serrano A; Gerson W. Dermatomiositis asociada con cáncer gástrico como síndrome paraneoplasico. Anal ABC 2001;46(2);83.

  10. Sedano LM, Palma CS, Romero CG. Polidermatomiositis y embarazo. Rev Chil Obstet Ginecol 1998;63(3);173-176.




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C?MO CITAR (Vancouver)

Gac Med Mex. 2003;139