Document Detail


Pregnancy in a patient with Wegener's granulomatosis - a case report.
MedLine Citation:
PMID:  22892004     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background: Pregnancy in patients with Wegener's granulamotosis (WG) is rare, and differential diagnosis of WG flare and preeclampsia is difficult. Case: A pregnant 35 year old with WG was referred with diagnosis of severe preeclampsia; caesarean section was performed. Intubation of the patient was difficult due to subglottic stenosis. Because of the clinical symptom, the case was considered preeclampsia, but p-ANCA of the patient was positive. In pregnancies with WG, differential diagnosis of WG flare-ups from preeclampsia should be made from clinical symptoms and laboratory findings. Serum ANCA titers are not useful in the differential diagnosis of WG flare-ups and preeclampsia because it may be positive in preeclampsia. Conclusion: Differential diagnosis of WG flare-up and preeclampsia should be made by clinical features. In the patients with subglottic stenosis, general anesthesia should not be preferred due to the probability of difficult intubation.
Authors:
Semra Kayatas; Mehmet Resit Asoglu; Selcuk Selcuk; Mehmet Akif Sargin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Bulletin of the NYU hospital for joint diseases     Volume:  70     ISSN:  1936-9727     ISO Abbreviation:  Bull NYU Hosp Jt Dis     Publication Date:  2012  
Date Detail:
Created Date:  2012-08-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101300541     Medline TA:  Bull NYU Hosp Jt Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  127-9     Citation Subset:  IM    
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