Nefritis Lúpica y Embarazo en el Siglo 21

Autores

  • Paula Alba Hospital Materno Neonatal. Cátedra de Medicina UHMI3. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba.

DOI:

https://doi.org/10.31053/1853.0605.v66.n4.23456

Palavras-chave:

Nefritis Lúpica, embarazo

Resumo

En las últimas décadas la mejoría en la sobrevida y en la calidad de vida del Lupus Eritematoso Sistémico (LES) ha conducido a un aumento en el número de embarazos en estas pacientes a lo largo de su enfermedad. En el pasado la recomendación era evitar el embarazo debido a las complicaciones maternas y fetales (1,2). En los últimos años, el pronóstico del embarazo en el LES ha mejorado indudablemente con una reducción significativa de las pérdidas fetales del 40% en los años 60 al 65 al 17% en algunas series del 2000 al 2003 (3). Sin embargo, el embarazo en mujeres con LES puede todavía estar asociado a complicaciones maternas y fetales.

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Referências

Donaldson LB, De Alvarez RR. Further observations on lupus erythematosus associated with pregnancy. Am J Obstet Gynecol 1962; 83: 1461-73.

Ellis FA, Bereston ES. Lupus erythematosus associated with pregnancy and menopause. AMA Arch Derm Syphilol 1952; 65:170-6.

Clark CA, Spitzer KA, Laskin CA. Decrease in pregnancy loss rates in patients with systemic lupus erythematosus over a 40-year period. J Rheumatol 2005; 32:1709. [Abstract]

Mintz G, Nitz J, Gutierrez G, et al. Prospective study of pregnancy in systemic lupus erythematosus: results of a multi-disciplinary approach. J Rheumatol 1986; 13:732-9.

Lockshin MD, Reinitz E, Druzin ML et al. Lupus pregnancy: case-control prospective study demonstrating absence of lupus exacerbation during or after pregnancy. Am J Med 1984; 77:893-8. [Abstract]

Urowitz MB, Gladman DD, Farewell VT, et al. Lupus and pregnancy studies. Arthritis Rheum 1993;36: 1392-97. [Abstract]

Petri M, Howard D, Repke J. Frequency of lupus flare in pregnancy : the Hopkins lupus pregnancy center experience. Arthritis Rheum 1991;34: 1538-45. [Abstract]

Ruiz-Irastorza G, Lima F, Alves J, et al. Increased rate of lupus flare during pregnancy and puerperium. Br J Rheumatol 1996; 35: 133-8. [Full Text]

Wong KL, Chan FY, Lee XP. Outcome of pregnancy in patients with systemic lupus erythematosus. A prospective study. Arch Intern Med 1991; 151: 269-73. [Abstract]

Tandon A, Ibanez D, Gladman DD et al. The effect of pregnancy on lupus nephritis. Arthritis Rheum 2004;50:3941-6. [Full Text]

Levy RA, Vilela VS, Cataldo MJ et al. Hydroxycloroquine in lupus pregnancy: double-blind and placebo -controlled study. Lupus 2001;10:401-4.

Carmona F, Font J, Moga I, et al. Class III-IV proliferative lupus nephritis and pregnancy: a study of 42 cases. Am J Reprod Immunol 2005; 53:182. [Abstract]

Williams D, Davison J. Chronic kidney disease in pregnancy. BMJ 2008; 336:211. [Abstract]

Ferraro AJ, Nightingale P, Al-Jayysousi R, et al. Pregnancy in women with renal disease: Results of UK CORD Group (Collaboration in Obstetrics and renal disease). Philadelphia, PA: American Society of Nephrology, Philadelphia, 2005.

Askie LM, Duley L, Henderson-Smart DJ et al. PARIS Collaborative Group. Antiplatelet agents for prevention of preeclampsia: A meta-analysis of individual patient data. Lancet 2007; 369: 1791-8. [Full Text]

Love PE, Santoro SA : Antiphospholipid antibodies: Anticardiolipin and the lupus anticoagulant in SLE and in non-SLE disorders. Ann Intern Med 1990; 112: 682-698. [Abstract]

Miyakis S, Lockshin MD, Atsumi T, Branch DW, Brey RL, Cervera R et al. International Consensus statement on an update of the clasification criteria for definitive antiphospholipid syndrome. J Thromb Haemost 2006; 4 : 295-306. [Abstract]

Branch DW, Khamashta MA. Antiphospholipid syndrome: obstetric diagnosis, management and controversies. Obstet Gynecol 2003; 101: 1333-1344. [Abstract]

Lima F, Khamashta MA, Buchanan NMM et al. A study of sixty pregnancies in patients with antiphospholipid syndrome. Clin Exp Rheumatol 1996;14: 131-136. [Abstract]

Derksen RH, Khamashta Ma, Branch DW. Management of the obstetric antiphospholipid syndrome. Arthritis Rheum 2004; 50:1028-1039. [Full Text]

Empson M, Lassere M, Craig J, et al. Prevention of recurrent miscarriages for women with antiphospholipid antibody or lupus anticoagulant. Cochrane Database Syst Rev 2005; 18(2):CD002859.

Publicado

2009-12-01

Edição

Seção

Editorial

Como Citar

1.
Alba P. Nefritis Lúpica y Embarazo en el Siglo 21. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 1º de dezembro de 2009 [citado 13º de novembro de 2024];66(4):137-9. Disponível em: https://revistas.unc.edu.ar/index.php/med/article/view/23456

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