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Hemodialysis in Pregnant with Systemic Lupus Erythematosus: Case Report and Review

Open Journal of nephrology 2022年第1期12卷 48-59页

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 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

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.

关键词： Dialysis Lupus nephritis Pregnancy Renal Disease and Systemic Lupus Erythematous

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