Maternal systemic lupus erythematosus associated with fetal congenital heart block. A case report.
Congenital heart block (CHB) is a rare cause of fetal bradycardia and, if misinterpreted as fetal distress, may lead to detrimental obstetric intervention. There is a definite association between systemic lupus erythematosus (SLE), as well as other connective tissue disorders in the mother and CHB in her offspring. A case of CHB in the child of a mother with asymptomatic SLE is reported and a useful diagnostic investigation, the sonar-atropine test, is described.
D000328:Adult; D001285:Atropine; D001919:Bradycardia / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D005315:Fetal Diseases / Q000209:etiology*; D006327:Heart Block / Q000151:congenital* / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008297:Male; D011247:Pregnancy; D011248:Pregnancy Complications; D014463:Ultrasonography
D001285:Atropine