Journal of the Indonesian Medical Association
Vol. 62 No. 4 April 2012

Uterine Atony, Pulmonary Fibrosis and Post Partum Hypertension in Post Partum Systemic Sclerosis Diffuse Patient: A Case Report in Zainoel Abidin General Hospital Banda Aceh


Pradipta, Bram ( Faculty of Medicine Universitas Indonesia, Jakarta ) , Munawar, Munawar ( Department-Faculty of Medicine Universitas Syiah Kuala, Banda Aceh ) , Kamarlis, Reno Keumalazia ( Faculty of Medicine Universitas Syiah Kuala, Banda Aceh )



Article Info

Publish Date
30 Apr 2012

Abstract

Objective: Diffuse systemic sclerosis (SSc) is an autoimmune disease with progressive fibrosis of skin and visceral tissues and vasculopathy. Pregnancies with SSc rarely found in daily practice. We report a case of 36 years old Indonesian women, gravida 5 para 4 with previous c-section, presented with pregnancy and SSc. Her chief complaint was premature rupture of membranes 24 hours. She is a patient of Internal Medicine Department since 6 months earlier with complaints of hardened skin, increased rigidity and curved hand and fingers. Patient was diagnosed with SSc with increased Sci-70 IgG autoantibodies and histopathology of the skin in accordance with scleroderma. Post C-section we found complications such as uterine atony, pulmonary fibrosis and postpartum hypertension consistent with SSc progression.Conclusion: Problems that can be encountered in pregnancy with SSc is the increase and progression of skin involvement and organ function deterioration. Common postpartum complications in pregnancy with SSc are pulmonary hypertension and renal crisis. Both of these and other complications make post partum patient with SSc require special attention and evaluation. J Indon Med Assoc. 2012;62:149-52.Keywords: diffuse systemic sclerosis, pregnancy, labor


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Original Source : http://indonesia.digitaljournals.org/index.php/idnmed/article/view/1225
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