Vasculitis & polymyalgia rheumatica

Pregnancy outcome in patients with a medical history of immunoglobulin A vasculitis: a case–control study

Scand J RheumatolPublished Retrospective case-control study

Authors' conclusion

Women with a history of IgA-V appear to be at higher risk for gestational hypertension and pre-eclampsia, especially in cases with renal involvement; however, both mother and newborn outcomes appear to be favourable.

Study context

Population
Pregnancies in women with a history of IgAV, Francepregnancies
Participants
26 / 15 / 52
Comparison
Pregnancies in women with a history of IgAV vs pregnancies in women who later developed IgAV vs pregnancies in healthy women
  • Casesn = 26
  • Later IgAVn = 15
  • Healthy controlsn = 52reference
Outcome
Maternal, neonatal and vasculitis outcomes during pregnancy
Methodological detailsFrench
  • French

Further findings

Gestational hypertension · during pregnancy · case group vs the other groups

P < 0.01

Pre-eclampsia · during pregnancy · case group vs the other groups

P = 0.04

Caesarean section · case group vs the other groups

P = 0.04

Hypertensive disorder of pregnancy, pre-existing kidney disease vs not (subgroup)

More frequent with pre-existing kidney disease (78% vs 12%, p < 0.01)

Delivery term and birth weight

There were no differences in delivery term or birth weight

Vasculitis flares · during pregnancy

No vasculitis flares were observed during pregnancy

Safety

Foetal loss and maternal deaths

None occurred
0

Original publication

Pregnancy outcome in patients with a medical history of immunoglobulin A vasculitis: a case–control study. Scand J Rheumatol. Published 13 July 2023. doi:10.1080/03009742.2023.2226518

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