Manejo de la vasculitis en la gestante

Abstract

Introduction: Vasculitis is a disease that occurs in women beyond their fertile age, which makes the challenges of pregnancy management difficult to study, as well as the maternal or fetal complications that could develop, predominantly Takayasu arteritis and Behçet's disease are vasculitis related to pregnancy due to the age of presentation. Objective: To establish the management of vasculitis in pregnant women Materials and methods: An exhaustive search of scientific articles was carried out using databases such as PubMed and Scopus, the search was restricted to studies and articles published in the last 5 years to ensure inclusion of updated information. Conclusions: Takayasu's arteritis management is around the control of the disease with glucocorticoids in low doses, associated or not with immunosuppressants compatible with pregnancy and acetylsalicylic acid, but in cases of active or severe disease the use of glucocorticoids should be in maximum doses associated if or if to the use of immunosuppressants and acetylsalicylic acid, In addition, an expectant management of pregnancy, by controlling signs and symptoms that indicate a complication of the disease, strict control of blood pressure, ultrasound controls, biochemical controls. In Behçet's disease, management is based on the use of usual treatment, i.e., use of glucocorticoids, anti-TNF immunosuppressants and colchicine, and expectant management of pregnancy, i.e., patients should be admitted if they present obstetric complications.