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A case of new-onset SLE during pregnancy an initial manifestation with all diagnostic criteria: The challenges of diagnosis and managing a complex disease in a low resource setting

Authors:

S. Kamsan,

De Soysa Hospital for Women, Colombo, LK
About S.
Registrar in Obstetrics and Gynaecology
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B. Subhani ,

National Hospital of Sri Lanka, Colombo, LK
About B.
Medical Officer in Neurology
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M. Rishard,

University of Colombo, LK
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Senior Lecturer, Department of Obstetrics and Gynaecology, Faculty of Medicine
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J. Akarawita

National Hospital of Sri Lanka, Colombo, LK
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Consultant Dermatologist
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Abstract

Systemic lupus erythematosus (SLE) is a complex chronic multiorgan autoimmune disease. When newly diagnosed during pregnancy or puerperium, it is known as new-onset SLE during pregnancy. Delayed or missed diagnosis of newonset SLE during pregnancy may occur due to similar clinical manifestation of SLE with normal physiological changes of pregnancy and lupus nephritis with preeclampsia. New-onset SLE during pregnancy has major organ involvement with poor maternal and foetal outcomes. Management options are limited due to teratogenic side effects of drugs in pregnancy. This is further compounded in a low resource setting with lack of health seeking behaviours and inadequate access to timely care. Multidisciplinary management with close medical, obstetric, neonatal monitoring, patient education and improved access to care is essential for better outcomes. Our aim is to report a 19 year old primigravida with new onset SLE in pregnancy and multiorgan involvement fulfilling all criteria for diagnosis of SLE at the first presentation.
How to Cite: Kamsan, S., Subhani, B., Rishard, M. and Akarawita, J., 2021. A case of new-onset SLE during pregnancy an initial manifestation with all diagnostic criteria: The challenges of diagnosis and managing a complex disease in a low resource setting. Sri Lanka Journal of Obstetrics and Gynaecology, 43(3), pp.185–189. DOI: http://doi.org/10.4038/sljog.v43i3.7998
Published on 25 Nov 2021.
Peer Reviewed

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