UNASSIGNED: The authors report the case of a 34-year-old pregnant woman followed for adrenal insufficiency secondary to prolonged corticosteroid therapy. Treatment consisted to an obstetrical and endocrinological follow-up and corticosteroid replacement therapy with hydrocortisone. A prophylactic cesarean section at 38 weeks resulted in the birth of a newborn male weighing 3395 g. Maternal and perinatal prognosis was good.
UNASSIGNED: Pregnancy in adrenal insufficiency is a therepeutic challenge in developing countries. Through this case, the authors discuss the therapeutic and prognostic aspects of adrenal insufficiency in our setting.
UNASSIGNED: With the introduction of gluco-corticosteroid replacement therapy, pregnancy in adrenal insufficiency can progress normally.
■作者报告了一例34岁的孕妇因长期皮质类固醇治疗继发的肾上腺功能不全。治疗包括产科和内分泌随访以及氢化可的松的皮质类固醇替代疗法。在38周时进行预防性剖宫产导致出生了一名体重为3395g的新生儿男性。孕产妇和围产期预后良好。
■肾上腺功能不全的妊娠在发展中国家是一个严重的挑战。通过这个案子,作者讨论了肾上腺功能不全的治疗和预后方面。
■随着糖皮质激素替代疗法的引入,妊娠中肾上腺功能不全可正常进展。