[A case of preserved fertility in an hemodialyzed patient with systemic lupus erythematosus].
BACKGROUND
Pregnancy and child birth in haemodialysis remains a rare event, even more, when pregnancy occurs in patient with systemic lupus erythematosus (SLE).


OBJECTIVE
We report a case of a patient with end stage renal failure secondary to SLE and who carried out 3 pregnancies.


METHODS
She was a woman with proliferative and diffuse lupus glomerulonephritis since 1985 treated by corticosteroids and cyclophosphamide. In 1995, she developed chronic renal failure. In 1996, she underwent a 1st full term spontaneous pregnancy with normal birth weight. In 2001, she underwent a second spontaneous pregnancy while she was on periodic haemodialysis. She had a full term baby birth with a birth weight at 1 Kg 700 and who died 4 days later. In 2002, she had a third pregnancy with voluntary abortion at 8 weeks.


CONCLUSIONS
Our patient had conserved fertility despite treatment by cyclophosphamide, chronic renal failure and haemodialysis. The two successful deliveries may be attributed to the control of SLE activity and to the adequacy of haemodialysis.
Service de Néphrologie et de Médecine Interne, Hôpital Charles Nicolle, TUNIS.
Soumaya
S
Béji
Hayet
H
Kaaroud
Fatma
F
Ben Moussa
Fethi
F
Ben Hamida
Rym
R
Goucha
Ezzeddine
E
Abderrahim
Fethi
F
El Younsi
Taieb
T
Ben Abdallah
H
H
Ben Maiz
Adel
A
Kheder
D000328:Adult; D005260:Female; D005298:Fertility; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000628:therapy*; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011256:Pregnancy Outcome; D006435:Renal Dialysis