Takayasu’s Arteritis in Pregnancy: A Rare Case Report from a Tertiary Care Infirmary in India
Background. Takayasu’s arteritis (TA) is a rare, chronic, inflammatory, progressive, idiopathic arteriopathy, afflicting young women of reproductive age group, causing narrowing, occlusion, and aneurysms of systemic and pulmonary arteries, especially the aorta and its branches. During pregnancy, suc...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2017/2403451 |
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| author | Sheeba Marwah Monika Rajput Ritin Mohindra Harsha S. Gaikwad Manjula Sharma Sonam R. Topden |
| author_facet | Sheeba Marwah Monika Rajput Ritin Mohindra Harsha S. Gaikwad Manjula Sharma Sonam R. Topden |
| author_sort | Sheeba Marwah |
| collection | DOAJ |
| description | Background. Takayasu’s arteritis (TA) is a rare, chronic, inflammatory, progressive, idiopathic arteriopathy, afflicting young women of reproductive age group, causing narrowing, occlusion, and aneurysms of systemic and pulmonary arteries, especially the aorta and its branches. During pregnancy, such patients warrant special attention. An interdisciplinary collaboration of obstetricians, cardiologists, and neurologists is necessary to improve maternal and fetal prognosis. Here a case is reported where a patient with diagnosis of TA, complicated by neurological sequelae, successfully fought the vagaries of the condition twice to deliver uneventfully. Case. 25-year-old G2P1L1 presented at 34 weeks of gestation, with chronic hypertension, with TA, with epilepsy, and with late-onset severe IUGR. Following a multidisciplinary approach, she delivered an alive born low birth weight baby (following induction). Her postpartum course remained uneventful. Conclusion. Pregnancy with TA poses a stringent challenge to an obstetrician. Despite advancements in cardiovascular management and advent of new-fangled drugs, the optimal management for pregnant patients with this disease still remains elusive. |
| format | Article |
| id | doaj-art-354076a8e78747c69d12a1a4c4bdaa0d |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-354076a8e78747c69d12a1a4c4bdaa0d2025-08-20T03:55:16ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922017-01-01201710.1155/2017/24034512403451Takayasu’s Arteritis in Pregnancy: A Rare Case Report from a Tertiary Care Infirmary in IndiaSheeba Marwah0Monika Rajput1Ritin Mohindra2Harsha S. Gaikwad3Manjula Sharma4Sonam R. Topden5Department of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi 110029, IndiaDepartment of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi 110029, IndiaDepartment of Internal Medicine, VMMC and Safdarjung Hospital, New Delhi 110029, IndiaDepartment of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi 110029, IndiaDepartment of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi 110029, IndiaDepartment of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi 110029, IndiaBackground. Takayasu’s arteritis (TA) is a rare, chronic, inflammatory, progressive, idiopathic arteriopathy, afflicting young women of reproductive age group, causing narrowing, occlusion, and aneurysms of systemic and pulmonary arteries, especially the aorta and its branches. During pregnancy, such patients warrant special attention. An interdisciplinary collaboration of obstetricians, cardiologists, and neurologists is necessary to improve maternal and fetal prognosis. Here a case is reported where a patient with diagnosis of TA, complicated by neurological sequelae, successfully fought the vagaries of the condition twice to deliver uneventfully. Case. 25-year-old G2P1L1 presented at 34 weeks of gestation, with chronic hypertension, with TA, with epilepsy, and with late-onset severe IUGR. Following a multidisciplinary approach, she delivered an alive born low birth weight baby (following induction). Her postpartum course remained uneventful. Conclusion. Pregnancy with TA poses a stringent challenge to an obstetrician. Despite advancements in cardiovascular management and advent of new-fangled drugs, the optimal management for pregnant patients with this disease still remains elusive.http://dx.doi.org/10.1155/2017/2403451 |
| spellingShingle | Sheeba Marwah Monika Rajput Ritin Mohindra Harsha S. Gaikwad Manjula Sharma Sonam R. Topden Takayasu’s Arteritis in Pregnancy: A Rare Case Report from a Tertiary Care Infirmary in India Case Reports in Obstetrics and Gynecology |
| title | Takayasu’s Arteritis in Pregnancy: A Rare Case Report from a Tertiary Care Infirmary in India |
| title_full | Takayasu’s Arteritis in Pregnancy: A Rare Case Report from a Tertiary Care Infirmary in India |
| title_fullStr | Takayasu’s Arteritis in Pregnancy: A Rare Case Report from a Tertiary Care Infirmary in India |
| title_full_unstemmed | Takayasu’s Arteritis in Pregnancy: A Rare Case Report from a Tertiary Care Infirmary in India |
| title_short | Takayasu’s Arteritis in Pregnancy: A Rare Case Report from a Tertiary Care Infirmary in India |
| title_sort | takayasu s arteritis in pregnancy a rare case report from a tertiary care infirmary in india |
| url | http://dx.doi.org/10.1155/2017/2403451 |
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