Abstract

VILLACRES FRANCO, Diana Carolina. Acute appendicitis in pregnant lupus. Rev Cuba Reumatol [online]. 2022, vol.24, n.3  Epub Sep 01, 2022. ISSN 1817-5996.

Systemic lupus erythematosus is an autoimmune disease that includes the presence of a chronic inflammatory process and increased production of autoantibodies as etiopathogenic mechanisms. As a disease, it occurs more frequently in female patients and those of childbearing age. Pregnancy in patients with this disease is considered an element of extreme caution since there is an influence of pregnancy on the clinical activity of lupus and lupus on the evolution of pregnancy. The presence of surgical complications, as is the case of acute appendicitis, brings greater risk to the mother-fetus binomial. The objective of this report is to communicate the treatment experience of a 31-year-old patient, diagnosed with systemic lupus erythematosus and who at 35.6 weeks of gestation presented acute appendicitis that not only causes disease activity, but it generates the need to interrupt the pregnancy. The patient and the newborn had a favorable evolution, with no subsequent complications.

Keywords : acute abdomen; acute appendicitis; pregnancy; autoimmune disease; systemic lupus erythematosus.

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