[Sjögren syndrome in Obstetric and Gynecology: literature review].
Sjogren syndrome (SS) is an immune disease characterized by a progressive degeneration of exocrine glands. It leads to dryness of mucosa and conjunctivitis. Gynecologists and obstetricians may encounter this disease in women at any age, including during pregnancy. Knowledge of the main characteristics is required for early diagnosis and multidisciplinary program. In the event of secondary Sjögren syndrome occurring during pregnancy, treatment focuses on the associated disease, mainly systemic lupus erythematosus. In primary Sjögren syndrome, pregnancy does not appear to influence disease course. However, patients with both primary and secondary Sjögren syndrome must be monitored carefully. There is a risk of neonatal lupus and congenital atrioventricular bloc associated with high morbidity and mortality. These patients should benefit from multidisciplinary care in a hospital with a neonatal intensive care unit.
Picone
O
O
Service de Gynécologie Obstétrique, Hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, 92140 Clamart.
Alby
C
C
Frydman
R
R
Mariette
X
X
D000728:Androgens; D001327:Autoimmune Diseases; D004967:Estrogens; D005260:Female; D006176:Gynecology; D006327:Heart Block / Q000151:congenital / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000209:etiology / Q000628:therapy; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D009774:Obstetrics; D011247:Pregnancy; D011248:Pregnancy Complications; D012307:Risk Factors; D012859:Sjogren's Syndrome / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014777:Virus Diseases / Q000150:complications
D000728:Androgens; D004967:Estrogens