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New-onset Systemic Lupus Erythematosus in a Woman with Previous Lymphoma during Late Pregnancy: a Case Report and Literature Review | ||
Iranian Journal of Immunology | ||
مقاله 10، دوره 19، شماره 2، شهریور 2022، صفحه 213-217 اصل مقاله (430.58 K) | ||
نوع مقاله: Case Report | ||
شناسه دیجیتال (DOI): 10.22034/iji.2022.93584.2239 | ||
نویسندگان | ||
Qiaoying Jiang1، 2؛ Caixia Qi* 1، 2؛ Liwei Yang1، 2 | ||
1Department of Obstetrics and Gynecology, Zhejiang Provincial People's Hospital, Hangzhou 310016, Zhejiang, China. | ||
2People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China. | ||
چکیده | ||
Background: Systemic lupus erythematosus (SLE) is most likely to occur during the first and second trimesters of pregnancy. There were few studies focused on the new-onset SLE during the late pregnancy or puerperium. SLE has been considered an important cause of thrombocytopenia. However, lymphoma may also be a cause of thrombocytopenia. Here, we reported a challenging case of new-onset SLE occurred at the gestational age of 33 weeks, and the pregnant woman suffered lymphoma before. Case presentation: A 25-year-old primigravid Chinese woman with a medical history of non-Hodgkin lymphoma (NHL) suffered thrombocytopenia at 30+5 weeks of gestation. Her skin rashes occurred one week later. Her platelet count was decreased progressively. She had been misdiagnosed with the recrudescence of NHL. The final diagnosis of new-onset SLE was confirmed and a cesarean section was performed at the 34th week of pregnancy. Both the pregnant woman and the newborn were cured with good prognosis. Conclusion: SLE should be considered in a pregnant woman with a medical history of malignancy to rule out other diseases, especially the rheumatic immune diseases. | ||
کلیدواژهها | ||
Late Pregnancy؛ Lymphoma؛ Systemic Lupus Erythematosus؛ Thrombocytopenia | ||
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