关键词: Hepatitis other Portal hypertension Pregnancy

Mesh : Humans Pregnancy Hepatitis, Autoimmune / complications diagnosis Female Adolescent Pregnancy Complications Pregnancy Outcome Pregnancy in Adolescence Pregnancy, Unplanned

来  源:   DOI:10.1136/bcr-2024-259698

Abstract:
Autoimmune hepatitis (AIH) is a rare liver disorder having long-standing inflammatory features. It classically affects women of reproductive age and can have adverse maternal and fetal outcomes during the pregnancy. The course of the disease is unpredictable and there have been flares even in stable patients. There are limited reports of its management in pregnancy. Furthermore, clinicians may encounter more pregnancies complicated by AIH due to advances in the treatment of AIH. We report a case of unplanned pregnancy in a young teenager who had been diagnosed with AIH. This case report summarises the risks, investigations, treatment and prevention of complications to achieve a favourable outcome in pregnancy. We highlight the importance of tight surveillance by a multidisciplinary team involving maternal medicine specialists and hepatology teams to achieve a good obstetric outcome in a district hospital like ours.
摘要:
自身免疫性肝炎(AIH)是一种罕见的肝脏疾病,具有长期的炎症特征。它通常会影响育龄妇女,并且在怀孕期间可能会导致不良的母婴结局。该疾病的病程是不可预测的,即使在稳定的患者中也有耀斑。关于其在怀孕期间的管理的报告有限。此外,由于AIH治疗的进展,临床医生可能会遇到更多AIH并发妊娠.我们报告了一名被诊断患有AIH的年轻少年的计划外怀孕病例。这份病例报告总结了风险,调查,治疗和预防并发症,以实现良好的妊娠结局。我们强调了由产妇医学专家和肝病学团队组成的多学科团队进行严密监视的重要性,以在像我们这样的地区医院中取得良好的产科结果。
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