摘要
Systemic lupus erythematosus is an autoimmune disease with an etiopathogenesis that is still unclear. With a higher incidence in women of childbearing age. Pregnancy in patients suffering from this pathology is a constant challenge for multidisciplinary teams. The changes of pregnancy, especially to the immune system and the kidney, have repercussions on the renal compromise secondary to lupus. Lupus nephropathy is more active during pregnancy and leads to adverse outcomes for the mother-fetus binomial. The early identification of pregnant women with a higher risk of complications, access to health resources and the participation of a multidisciplinary team is the strategy that increases maternal-fetal survival. A report case of a 25-year-old black female with SLE and a 10-week pregnancy who was admitted to the emergency department with criteria for dialysis. The literature focused on lupus nephritis and dialysis in pregnancy was reviewed. Articles were reviewed in databases such as PubMed, Cochrane, among others, focused on the topic of pregnancy with SLE and pregnancy with dialysis. A total of 15 review articles, 2 meta-analyses, 3 observational studies and 6 cohort studies (3 prospective and 3 retrospective) were filtered.
Systemic lupus erythematosus is an autoimmune disease with an etiopathogenesis that is still unclear. With a higher incidence in women of childbearing age. Pregnancy in patients suffering from this pathology is a constant challenge for multidisciplinary teams. The changes of pregnancy, especially to the immune system and the kidney, have repercussions on the renal compromise secondary to lupus. Lupus nephropathy is more active during pregnancy and leads to adverse outcomes for the mother-fetus binomial. The early identification of pregnant women with a higher risk of complications, access to health resources and the participation of a multidisciplinary team is the strategy that increases maternal-fetal survival. A report case of a 25-year-old black female with SLE and a 10-week pregnancy who was admitted to the emergency department with criteria for dialysis. The literature focused on lupus nephritis and dialysis in pregnancy was reviewed. Articles were reviewed in databases such as PubMed, Cochrane, among others, focused on the topic of pregnancy with SLE and pregnancy with dialysis. A total of 15 review articles, 2 meta-analyses, 3 observational studies and 6 cohort studies (3 prospective and 3 retrospective) were filtered.
作者
José Lucas Daza
Yaroslad de la Cruz
John Fredy Galindo
Luis Puello
Gerardo Gutiérrez
María Camila Correcha
Carlos Alban
Daniel Soto
Andrés Cárdenas
Luis José Daza
Néstor Guarnizo
Abel Caraballo
José Lucas Daza;Yaroslad de la Cruz;John Fredy Galindo;Luis Puello;Gerardo Gutiérrez;María Camila Correcha;Carlos Alban;Daniel Soto;Andrés Cárdenas;Luis José Daza;Néstor Guarnizo;Abel Caraballo(Internist-Nephrologist, Ibague, Colombia;Internist-Nephrologist, Cali, Colombia;General Physician, Ibague, Colombia;Internist-Nephrologist Cartagena, Colombia;Internist-Nephrologist, Villavicencio, Colombia;Medical Student, Santa Marta, Colombia;Internist-Hematologist, Cartagena, Colombia;General Physician, University of Tolima, Ibague;Intensivist Phsysician, Barranquilla, Colombia)
