title: [Renal and respiratory failure in a pregnant woman with progressive systemic sclerosis. Anatomo-clinical case].
abstract: Pregnancy in patients with systemic sclerosis may predispose to a fast progression of the disease. We report a woman with systemic sclerosis and multiple visceral involvement that during the third trimester of pregnancy developed a respiratory failure caused by interstitial fibrosis complicated with alveolar hemorrhage, bronchopneumonia and respiratory distress syndrome and a renal failure. On admission, she was subjected to a cesarean section, delivering a 1205 g newborn. In spite of intensive care support, the multisystemic failure became unmanageable and the patient died 15 days after admission. Literature review, although sometimes controversial, indicates that pregnancy is a situation with a definitive death risk for patients with systemic sclerosis, that requires a close follow up.
authors.affiliation: Departamento de Reumatología e Inmunología Clínica, Escuela de Medicina, P Universidad Católica de Chile, Santiago de Chile.
authors.forename: V
authors.initials: V
authors.lastname: Aguirre
authors.forename: R
authors.initials: R
authors.lastname: Tagle
authors.forename: H
authors.initials: H
authors.lastname: Rosenberg
authors.forename: S
authors.initials: S
authors.lastname: Jacobelli
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*; D012131:Respiratory Insufficiency / Q000209:etiology*; D012595:Scleroderma, Systemic / Q000150:complications*
vernacular_title: Insuficiencia renal y respiratoria en una embarazada con esclerosis sistémica progresiva. Caso anatomo-clínico.