2023, Number 05
Update on the general management of systemic lupus erythematosus in pregnancy
Language: Spanish
References: 17
Page:
PDF size: 260.26 Kb.
ABSTRACT
Systemic lupus erythematosus is a chronic (SLE), multisystemic autoimmune disease of unknown etiology that mainly affects women of reproductive age. The prevalence of the disease varies according to the region, oscillating in a range of 20 to 150 cases per 100,000 inhabitants, during pregnancy the activity of lupus is variable, improving in 33%, remaining unchanged in 33% and worsening in other 33%. The preconception evaluation constitutes a fundamental component of the initial management with the purpose of determining the appropriate time to conceive a pregnancy where this does not imply an unacceptably high maternal or fetal risk; as well as adjust compatible treatment for disease control during pregnancy. The following article focuses on providing updated information on the general management of SLE during the preconception period, treatment measures during pregnancy and the main maternal-fetal complications associated with pregnancy in patients with SLE.REFERENCES
Mesa-Abad P, Tovar-Muńoz L, Serrano-Navarro I, Ventura-Puertos PE, Berlango-Jiménez J. El embarazo en mujeres con lupus eritematoso sistémico: una revisión integrativa: Array. Enferm Nefrol [Internet]. 30 de marzo de 2020 [citado 25 de octubre de 2022];23(1):11-2. Disponible en: https://www.enfermerianefrologica.com/revista/article/view/3827
Morilla Aragón M, Fernández Ordóńez E, Martínez Castellón N. Cuidados Preconcepcionales y durante la gestación de la mujer con Lupus Eritematoso Sistémico. Rev.enf.doc. [Internet]. Enero-Junio 2020 [citado 25 de octubre de 2022];112: 76-82. Disponible en: https://www.huvv.es/profesionales/revista-enfermeria-docente/112
UpToDate [Internet]. Waltham (MA): UpToDate. Clinical manifestations and diagnosis of systemic lupus erythematosus in adults; [actualizado 04 Noviembre 2022, citado 25 Octubre 2022]. Disponible en: https://www-uptodate-com.bibliotecaucimed.remotexs.co/contents/clinical-manifestations-and-diagnosis-of-systemic-lupus-erythematosus-in-adults
UpToDate [Internet]. Waltham (MA): UpToDate. Epidemiology and pathogenesis of systemic lupus erythematosus; [actualizado 11 Agosto 2021, citado 25 Octubre 2022]. Disponible en: https://www-uptodate-com.bibliotecaucimed.remotexs.co/contents/epidemiology-and-pathogenesis-of-systemic-lupus-erythematosus
DynaMed [Internet]. Ipswich (MA): EBSCO Information Services. Reproductive Health Considerations in Women With Systemic Lupus Erythematosus (SLE); [actualizado 16 Septiembre 2020, citado 27 Octubre 2022]. Disponible en: https://www.dynamed.com.bibliotecaucimed.remotexs.co/management/reproductive-health-considerations-in-women-with-systemic-lupus-erythematosus-sle
UpToDate [Internet]. Waltham (MA): UpToDate. Approach to contraception in women with systemic lupus erythematosus; [actualizado 20 Mayo 2021, citado 27 Octubre 2022]. Disponible en: https://www-uptodate-com.bibliotecaucimed.remotexs.co/contents/approach-to-contraception-in-women-with-systemic-lupus-erythematosus
DynaMed [Internet]. Ipswich (MA): EBSCO Information Services. Management of Systemic Lupus Erythematosus (SLE) in Adults; [actualizado 29 Septiembre 2022, citado 27 Octubre 2022]. Disponible en: https://www.dynamed.com.bibliotecaucimed.remotexs.co/management/management-of-systemic-lupus-erythematosus-sle-in-adults
UpToDate [Internet]. Waltham (MA): UpToDate. Overview of the management and prognosis of systemic lupus erythematosus in adults; [actualizado 25 Octubre 2022, citado 27 Octubre 2022]. Disponible en: https://www-uptodate-com.bibliotecaucimed.remotexs.co/contents/overview-of-the-management-and-prognosis-of-systemic-lupus-erythematosus-in-adults
UpToDate [Internet]. Waltham (MA): UpToDate. Neonatal lupus: Epidemiology, pathogenesis, clinical manifestations, and diagnosis; [actualizado 07 Enero 2022, citado 27 Octubre 2022]. Disponible en: https://www-uptodate-com.bibliotecaucimed.remotexs.co/contents/neonatal-lupus-epidemiology-pathogenesis-clinical-manifestations-and-diagnosis