[In utero fetal death in pregnancy complicated by Takayasu's arteritis: case report and review].

J Gynecol Obstet Biol Reprod (Paris)

Service de gynécologie-obstétrique, hôpital Paule-de-Viguier, 330, avenue de Grande-Bretagne, 31300 Toulouse, France.

Published: November 2009

Takayasu's arteritis is a non-specific chronic vasculitis mainly involving the aorta and its main branches. A 37 year-old patient was diagnosed a Takayasu's arteritis during her last pregnancy. Her new pregnancy was characterised by a preeclampsia and an intrauterine growth restriction complicated by an intrauterine fetal death during the second trimester. Takayasu's arteritis is at risk of life-threatening complications for both the mother and the fetus. A multidisciplinary survey is recommended. Currently, management of this disease is unclear and no consensus is available during pregnancy. Trials testing antiplatelet agents and corticosteroids are now needed.

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http://dx.doi.org/10.1016/j.jgyn.2009.05.001DOI Listing

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