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Successful Treatment of a Patient with Primary Sjögren's Syndrome Complicated with Pericarditis during Pregnancy


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Title: Successful Treatment of a Patient with Primary Sjögren's Syndrome Complicated with Pericarditis during Pregnancy
Authors: Mutsukura, Kazuo / Nakamura, Hideki / Iwanaga, Nozomi / Ida, Hiroaki / Kawakami, Atsushi / Origuchi, Tomoki / Furuyama, Masako / Eguchi, Katsumi
Issue Date: Jul-2007
Publisher: 日本内科学会 / The Japanese Society of Internal Medicine
Citation: Internal Medicine, vol.46(14), pp.1143-1147; 2007
Abstract: A 35-year-old woman with primary Sjögren's syndrome (pSS) developed fever and chest pain during pregnancy. When the dose of prednisolone was reduced, she experienced chest pain with elevated CRP and D-dimer, resulting in admission to our hospital with marked cardiomegaly and pleural effusion. Because there was no evidence of other autoimmune disorders or infection, oral prednisolone was increased to 30 mg daily with heparin, and hypercoagulopathy was carefully monitored. The patient's condition improved rapidly, and she delivered a healthy baby. This is the first case to support the beneficial effect of prednisolone in pericarditis with pSS, and illustrates its safety during pregnancy.
Keywords: Sj?gren's syndrome / pericarditis / pregnancy
URI: http://hdl.handle.net/10069/22573
ISSN: 09182918
DOI: 10.2169/internalmedicine.46.0062
Rights: Copyright (c) 2007 (社)日本内科学会
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/22573

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