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

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概要

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• 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.

著者

• Ida Hiroaki

  First Department Of Internal Medicine Graduate School Of Biochemical Sciences Nagasaki University

• Kawakami Atsushi

  First Department Of Internal Medicine Nagasaki University Hospital Of Medicine And Dentistry Graduat

• Iwanaga Nozomi

  First Department Of Internal Medicine Graduate School Of Biochemical Sciences Nagasaki University

• Eguchi Katsumi

  First Department Of Internal Medicine Graduate School Of Biochemical Sciences Nagasaki University

• FURUYAMA Masako

  Nagasaki Kita Hospital

• Nakamura Hideki

  First Department Of Internal Medicine Graduate School Of Biomedical Sciences Nagasaki University

• Origuchi Tomoki

  Nagasaki University of Health Science, Nagasaki University

• Mutsukura Kazuo

  First Department of Internal Medicine, Graduate School of Biomedical Sciences, Nagasaki University

• Iwanaga Nozomi

  First Department of Internal Medicine, Graduate School of Biomedical Sciences, Nagasaki University

• Ida Hiroaki

  First Department of Internal Medicine, Graduate School of Biomedical Sciences, Nagasaki University

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