CATASTROPHIC ANTIPHOSPHOLIPID SYNDROME IN A PREGNANT WOMAN WITHIN PREGNANT WOMEN WITH SYSTEMIC LUPUS ERYTHEMATOSUS


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Abstract

The paper describes a case of successful treatment for catastrophic antiphospholipid syndrome (CAPS) in a multigravida with a complicated somatic history (systemic lupus erythematosus, secondary antiphospholipid syndrome) and with complicated current pregnancy (placental insufficiency). The pregnant woman was emergently delivered at 28 weeks’ gestation because of the worse condition of hers and her fetus. In the early postoperative period, the diagnosis was timely made and combination therapy (glucocorticoids, plasma exchange, immunoglobulin) was initiated. The patient was discharged in a satisfactory condition on day 15 to be further followed up by a local rheumatologist.

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About the authors

T. V KIRSANOVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia; I.M. Sechenov First Moscow State Medical University

Email: a_tatya@mail.ru

N. K TETRUASHVILI

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: tetruly@mail.ru

A. A DYAKONOVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia; I.M. Sechenov First Moscow State Medical University

Email: ann-diakonova@yandex.ru

N. L KOZLOVSKAYA

I.M. Sechenov First Moscow State Medical University

Email: nkozlovskaya@yandex.ru

N. E KAN

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: nkan@oparina4.ru

T. A FEDOROVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: tfyodorova@oparina4.ru

A. A AGADZHANOVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: tetrauly@mail.ru

S. V SOKOLOGORSKY

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: ssocologorskiy@oparina4.ru

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