HUSER, Martin, Kristýna WÁGNEROVÁ, Petr JANKŮ, Lenka MALÁSKOVÁ and Petr ŠTOURAČ. Clinical Management of Pregnancy in Women with Goodpasture Syndrome. Gynecologic and Obstetrics Investigation. Basel: KARGER, 2015, vol. 79, No 2, p. 73-77. ISSN 0378-7346. Available from: https://dx.doi.org/10.1159/000369998.
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Basic information
Original name Clinical Management of Pregnancy in Women with Goodpasture Syndrome
Authors HUSER, Martin (203 Czech Republic, guarantor, belonging to the institution), Kristýna WÁGNEROVÁ (203 Czech Republic), Petr JANKŮ (203 Czech Republic, belonging to the institution), Lenka MALÁSKOVÁ (203 Czech Republic) and Petr ŠTOURAČ (203 Czech Republic, belonging to the institution).
Edition Gynecologic and Obstetrics Investigation, Basel, KARGER, 2015, 0378-7346.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30214 Obstetrics and gynaecology
Country of publisher Switzerland
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.672
RIV identification code RIV/00216224:14110/15:00082336
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1159/000369998
UT WoS 000350267200001
Keywords in English Goodpasture syndrome; Pregnancy; Complications; Renal biopsy; Abortion
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 14/4/2015 11:25.
Abstract
Background/Aims: Goodpasture syndrome (GS) is an autoimmune disease affecting mainly the kidneys and lungs. This review article focuses on GS occurring during pregnancy, which can seriously threaten the lives of both mother and fetus. We summarize the current clinical diagnosis and management of GS in pregnancy. Methods: A profound literature search was carried out to review all published articles or case studies reporting on GS in pregnancy. We extracted the following data from each case: patient age, parity, gestational age, therapy of GS during pregnancy, pregnancy outcome, neonatal outcome, mode of delivery, and the patient's kidney status. We describe in detail how a recent case of GS diagnosed in pregnancy was successfully treated. Results: A review of the available literature revealed 4 cases of GS in pregnancy. The average patient age was 29.3 +/- 2.5 years, and most were primiparous, with an average parity of 1.3 +/- 1.5. The average gestational age at the time of diagnosis was 12.5 +/- 5.9 weeks. The therapies of GS during pregnancy were remarkably varied. Furthermore, the neonatal outcomes were also quite individual among the observed cases. Conclusion:The occurrence of GS during pregnancy is very rare. This unusual pregnancy complication is associated with significant maternal and fetal morbidity. The management of GS during pregnancy requires intensive care and multidisciplinary cooperation.
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