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Title:
Pregnancy Outcomes in Patients with Autoimmune Diseases and Anti-Ro/SSA Antibodies | Clinical Reviews in Allergy & Immunology
Description:
Anti-Ro/SSA antibodies are associated with neonatal lupus (congenital heart block (CHB), neonatal transient skin rash, hematological and hepatic abnormalities), but do not negatively affects other gestational outcomes, and the general outcome of these pregnancies is now good, when followed by experienced multidisciplinary teams. The prevalence of CHB, defined as an atrioventricular block diagnosed in utero, at birth, or within the neonatal period (0â27 days after birth), in the offspring of an anti-Ro/SSA-positive women is 1â2%, of neonatal lupus rash around 10â20%, while laboratory abnormalities in asymptomatic babies can be detected in up to 27% of cases. The risk of recurrence of CHB is ten times higher. Most of the mothers are asymptomatic at delivery and are identified only by the birth of an affected child. Half of these asymptomatic women develop symptoms of a rheumatic disease, most commonly arthralgias and xerophtalmia, but few develop lupus nephritis. A standard therapy for CHB is still matter of investigation, although fluorinated corticosteroids have been reported to be effective for associated cardiomyopathy. Serial echocardiograms and obstetric sonograms, performed at least every 1â2 weeks starting from the 16th week of gestational age, are recommended in anti-Ro/SSA-positive pregnant women to detect early fetal abnormalities that might be a target of preventive therapy.
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Keywords {đ}
google, scholar, pubmed, cas, block, heart, congenital, lupus, antibodies, rheum, neonatal, arthritis, brucato, outcome, buyon, mothers, fetal, complete, study, children, atrioventricular, erythematosus, rheumatol, article, antirossa, cimaz, women, maternal, factor, autoimmune, disease, obstet, risk, therapy, antiro, isolated, circulation, cardiol, gynecol, pregnancy, abnormalities, prospective, clin, silverman, autoantibodies, syndrome, immunol, julkunen, longterm, diseases,
Topics {âïž}
maternal anti-ssa/ro-ssb/la antibodies anti-ssa/ro-ssb/la antibodies anti-ro/ssa-positive pregnant women anti-la antibody profiles anti-ro/ssa antibodies published anti-ssa/ro 52-kd antibodies anti-ssb/la autoantibodies bind anti-ro/ssa-positive women anti-ro/ssa-positive patients anti-ro/ssa antibodies detected anti-ro/la-positive cases anti-ro/la antibodies comparison anti-ro/ssa antibodies anti-ssa/ro antibodies month download article/chapter tumor necrosis factor-alpha develop lupus nephritis anti-ro/la antibodies t-type calcium channels maternal anti-ro antibodies enzyme-linked immunosorbent assay native 60-kd ro/ss denatured 52-kd ro/ss bleomycin-induced pulmonary fibrosis anti-ro/ssa anti-ssa/ro la/ssb antibodies systemic lupus erythematosus fetal kinetocardiogram-based study anti-ro antibodies tumor necrosis factor ssb/la antigens anti-la antibodies congenital heart block complete heart block atrioventricular block diagnosed systemic lupus erytematosus rheumatic disease neonatal lupus erythematosus article clinical reviews retrospective cohort study antonio brucato maternal anti-ro cutaneous lupus erythematosus anti-ro autoantibodies ten times higher privacy choices/manage cookies fetal heart block anti-52Â kda ro anti-60Â kda ro
Questions {â}
- Buyon JP, Brucato A, Friedman DM (2008) What's in a name?
- Cimaz R (2004) Any increased risk of autoimmune disease?
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headline:Pregnancy Outcomes in Patients with Autoimmune Diseases and Anti-Ro/SSA Antibodies
description:Anti-Ro/SSA antibodies are associated with neonatal lupus (congenital heart block (CHB), neonatal transient skin rash, hematological and hepatic abnormalities), but do not negatively affects other gestational outcomes, and the general outcome of these pregnancies is now good, when followed by experienced multidisciplinary teams. The prevalence of CHB, defined as an atrioventricular block diagnosed in utero, at birth, or within the neonatal period (0â27Â days after birth), in the offspring of an anti-Ro/SSA-positive women is 1â2%, of neonatal lupus rash around 10â20%, while laboratory abnormalities in asymptomatic babies can be detected in up to 27% of cases. The risk of recurrence of CHB is ten times higher. Most of the mothers are asymptomatic at delivery and are identified only by the birth of an affected child. Half of these asymptomatic women develop symptoms of a rheumatic disease, most commonly arthralgias and xerophtalmia, but few develop lupus nephritis. A standard therapy for CHB is still matter of investigation, although fluorinated corticosteroids have been reported to be effective for associated cardiomyopathy. Serial echocardiograms and obstetric sonograms, performed at least every 1â2 weeks starting from the 16th week of gestational age, are recommended in anti-Ro/SSA-positive pregnant women to detect early fetal abnormalities that might be a target of preventive therapy.
datePublished:2009-12-11T00:00:00Z
dateModified:2009-12-11T00:00:00Z
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Neonatal lupus
Anti-Ro/SSA antibodies
Allergology
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Internal Medicine
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headline:Pregnancy Outcomes in Patients with Autoimmune Diseases and Anti-Ro/SSA Antibodies
description:Anti-Ro/SSA antibodies are associated with neonatal lupus (congenital heart block (CHB), neonatal transient skin rash, hematological and hepatic abnormalities), but do not negatively affects other gestational outcomes, and the general outcome of these pregnancies is now good, when followed by experienced multidisciplinary teams. The prevalence of CHB, defined as an atrioventricular block diagnosed in utero, at birth, or within the neonatal period (0â27Â days after birth), in the offspring of an anti-Ro/SSA-positive women is 1â2%, of neonatal lupus rash around 10â20%, while laboratory abnormalities in asymptomatic babies can be detected in up to 27% of cases. The risk of recurrence of CHB is ten times higher. Most of the mothers are asymptomatic at delivery and are identified only by the birth of an affected child. Half of these asymptomatic women develop symptoms of a rheumatic disease, most commonly arthralgias and xerophtalmia, but few develop lupus nephritis. A standard therapy for CHB is still matter of investigation, although fluorinated corticosteroids have been reported to be effective for associated cardiomyopathy. Serial echocardiograms and obstetric sonograms, performed at least every 1â2 weeks starting from the 16th week of gestational age, are recommended in anti-Ro/SSA-positive pregnant women to detect early fetal abnormalities that might be a target of preventive therapy.
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