1. Successful treatment outcomes in pregnant patients with ANCA‐associated vasculitides: A systematic review of literature.
- Author
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Singh, Pawan, Dhooria, Aadhaar, Rathi, Manish, Agarwal, Ritesh, Sharma, Kusum, Dhir, Varun, Nada, Ritambhra, Minz, Ranjana, Suri, Vanita, Jain, Sanjay, and Sharma, Aman
- Subjects
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GRANULOMATOSIS with polyangiitis , *META-analysis , *VASCULITIS , *LITERATURE reviews , *TREATMENT effectiveness - Abstract
Aim: Antineutrophil cytoplasmic antibody‐associated vasculitides (AAV) are a group of small vessel vasculitis with systemic presentations and considerable morbidity and mortality. Pregnancy in these patients poses a significant therapeutic challenge. There is limited published literature regarding pregnancy in AAV. Methods: Two cases of successful pregnancy outcomes in patients with active AAV are described. A systematic review was conducted on the lines of the PRISMA statement for conducting systemic reviews: PubMed (inception of PubMed until 30 April 2017, English language only) and EmBase databases were searched using the following terms: 'pregnancy' AND 'ANCA associated vasculitis' OR 'granulomatosis with polyangiitis' OR 'eosinophilic granulomatosis with polyangiitis' OR 'microscopic polyangiitis' OR 'Churg‐Strauss syndrome' OR 'Wegener's granulomatosis'. Results: One hundred and thirty‐seven pregnancies were documented in 110 patients of AAV. Vasculitis diagnosis was made before pregnancy in 69, during pregnancy in 32 and after pregnancy in 9 patients. Mean age at the time of pregnancy was 29.3 ± 5.3 years. There were 91 term pregnancies, 28 were preterm pregnancies, 15 abortions and 3 still births; 78 had normal delivery and 26 had caesarian section. Conclusion: Successful pregnancies have been reported in AAV patients. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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