Successful intrauterine therapy with dexamethasone for fetal myocarditis and heart block in a woman with systemic lupus erythematosus.
We describe a case of successful intrauterine treatment with dexamethasone for fetal carditis in a woman with systemic lupus erythematosus. Targeted dual M-mode fetal echocardiogram showed disappearance of pericardial effusion and heart failure with therapy. The maternofetal pair had several of the factors considered a risk for passively transmitted autoimmune carditis. Our case further supports the evidence that dexamethasone could be effective for intrauterine treatment of this clinical situation.
Section of Rheumatology, Hospital Doce de Octubre, Madrid, Spain.
P E
PE
Carreira
F
F
Gutierrez-Larraya
J J
JJ
Gomez-Reino
D000328:Adult; D003907:Dexamethasone / Q000627:therapeutic use*; D004452:Echocardiography; D005260:Female; D005315:Fetal Diseases / Q000188:drug therapy; D006327:Heart Block / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000188:drug therapy*; D008431:Maternal-Fetal Exchange; D009205:Myocarditis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy*; D010956:Plasmapheresis; D011247:Pregnancy
D003907:Dexamethasone