Multiple intracranial hemorrhages in pregnancy: A common autoimmune etiology.
Systemic lupus erythematosus (SLE) is an autoimmune disorder, primarily affect female in fertile age. Pregnancy in SLE female is a high-risk situation which can adversely affect maternal-fetal dyad. SLE can flare during pregnancy or in postpartum period. We describe a case of a young pregnant female who presented because of right hemiparesis due multiple hemorrhages in the brain. The first presentation of the SLE with multiple intracranial hemorrhages in pregnancy, preceding the other characteristic clinical symptoms is rare. Here, we high lighten the major neurological issues and maternal-fetal dyad issues in SLE pregnancy and treatment strategies for management of SLE in pregnancy.
Department of Medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.
Hans Raj
HR
Pahadiya
Department of Medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.
Manoj
M
Lakhotia
Department of Medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.
Ronak
R
Gandhi
Department of Medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.
Akanksha
A
Choudhary
Department of Medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.
Shiva
S
Madan
Fetal loss; intracranial hemorrhage; maternal-fetal dyad; pregnancy; systemic lupus erythematosus; thrombocytopenia