title: Takayasu's Arteritis in Pregnancy: A Rare Case Report from a Tertiary Care Infirmary in India.
abstract: Background. Takayasu's arteritis (TA) is a rare, chronic, inflammatory, progressive, idiopathic arteriopathy, afflicting young women of reproductive age group, causing narrowing, occlusion, and aneurysms of systemic and pulmonary arteries, especially the aorta and its branches. During pregnancy, such patients warrant special attention. An interdisciplinary collaboration of obstetricians, cardiologists, and neurologists is necessary to improve maternal and fetal prognosis. Here a case is reported where a patient with diagnosis of TA, complicated by neurological sequelae, successfully fought the vagaries of the condition twice to deliver uneventfully.Case. 25-year-old G2P1L1 presented at 34 weeks of gestation, with chronic hypertension, with TA, with epilepsy, and with late-onset severe IUGR. Following a multidisciplinary approach, she delivered an alive born low birth weight baby (following induction). Her postpartum course remained uneventful.Conclusion. Pregnancy with TA poses a stringent challenge to an obstetrician. Despite advancements in cardiovascular management and advent of new-fangled drugs, the optimal management for pregnant patients with this disease still remains elusive.
authors.affiliation: Department of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Sheeba
authors.identifier: 0000-0002-3223-9396
authors.initials: S
authors.lastname: Marwah
authors.affiliation: Department of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Monika
authors.initials: M
authors.lastname: Rajput
authors.affiliation: Department of Internal Medicine, VMMC and Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Ritin
authors.initials: R
authors.lastname: Mohindra
authors.affiliation: Department of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Harsha S
authors.identifier: 0000-0003-0169-9346
authors.initials: HS
authors.lastname: Gaikwad
authors.affiliation: Department of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Manjula
authors.initials: M
authors.lastname: Sharma
authors.affiliation: Department of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Sonam R
authors.initials: SR
authors.lastname: Topden