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.
Carreira
P E
PE
Section of Rheumatology, Hospital Doce de Octubre, Madrid, Spain.
Gutierrez-Larraya
F
F
Gomez-Reino
J J
JJ
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