Favorable Pregnancy Outcomes in a Patient with Takayasu’s Arteritis: A Case Report

• Published in: Journal of midwifery and reproductive health 2016-10, Vol.4 (4), p.779-781
• Main Authors: Sima Kadkhodayan, Leila Pourali, Maryam Sahebbari, Elham Motamedi
• Format: Article
• Language: English
• Subjects: Aorta; Pregnancy complication; Pregnancy outcome; Takayasu’s arteritis
• ISSN: 2345-4792; 2345-4792
• DOI: 10.22038/jmrh.2016.7232

Background & aim: Takayasu’s arteritis is a rare, chronic vasculitis, affecting women of reproductive age. With disease progression, evidence of vascular involvement and insufficiency becomes clinically apparent due to the narrowing or occlusion of the proximal or distal branches of the aorta. Therefore, pregnancy-related complications, such as superimposed preeclampsia, renal failure, and congestive heart failure, may be encountered in these patients. Case report: In this report, we present the case of a 23-year-old, Iranian, primigravida woman with a prior history of Takayasu’s arteritis, which was diagnosed two years before her pregnancy. The patient’s primary presentations were thrombocytosis (more than one million per milliliter), weight loss, and weakness in the shoulders and arms, appearing two years before her pregnancy. Following spontaneous pregnancy, the patient received regular perinatal care by a medical team, consisting of an obstetrician, a rheumatologist, a radiologist, and a nephrologist. Pregnancy termination was planned due to the preterm premature rupture of membranes (PPROM) at 36 weeks of gestation. A normal live male neonate (weight= 3100 g) was born with a normal Apgar score (8-8). Conclusion: Based on the findings, a multidisciplinary collaboration between rheumatologists, nephrologists, and obstetricians is required to achieve optimal maternal and neonatal outcomes.