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10.2169/internalmedicine.0033-17

http://scihub22266oqcxt.onion/10.2169/internalmedicine.0033-17
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C6028670!6028670 !29321410
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suck abstract from ncbi


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pmid29321410
      Intern+Med 2018 ; 57 (11 ): 1655-1659
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  • Successful Management of Pregnancy in a Patient with Systemic Lupus Erythematosus-associated Pulmonary Arterial Hypertension #MMPMID29321410
  • Kawabe A ; Nakano K ; Aiko Y ; Aramaki S ; Onoue T ; Okura D ; Tanaka Y
  • Intern Med 2018[Jun]; 57 (11 ): 1655-1659 PMID29321410 show ga
  • Pregnancy in women with systemic lupus erythematosus (SLE)-associated pulmonary arterial hypertension (PAH) remains a high risk. We successfully managed a pregnancy in a patient with SLE-PAH. A 31-year-old pregnant woman with SLE-PAH had worsening PAH and SLE flare-up during pregnancy and a sudden increase in pulmonary arterial pressure after delivery. SLE-PAH was controlled by continuous intravenous epoprostenol and inhaled nitric oxide therapy combined with high-dose corticosteroids under close hemodynamic monitoring. Women with SLE-PAH should avoid pregnancy. However, in case of a similar event, we recommend our case as a good reference for improving the outcome of pregnancy with SLE-PAH.
  • |Adult [MESH]
  • |Antihypertensive Agents/therapeutic use [MESH]
  • |Epoprostenol/therapeutic use [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Hypertension, Pulmonary/complications/*diagnosis/drug therapy [MESH]
  • |Lupus Erythematosus, Systemic/complications/*diagnosis/therapy [MESH]
  • |Pregnancy [MESH]


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