Perioperative management of a patient with systemic lupus erythematosus with hypothyroidism posted for medical termination of pregnancy

Systemic lupus erythematosus (SLE) is an autoimmune disease and more frequent found in women between the age group of 15 to 45years . disease will coexcist with pregnancy. Disease exacerbation, increased foetal loss, neonenatal lupus and an increased incidence of pre-eclampsia are the major challenges. Its multisystem involvement and therapeutic interventions like anticoagulants, steroids and immunosuppressive agents pose a high risk for both surgery and anaesthesia. We describe successful management of an women with SLE with ten weeks whois posted for medical termination of pregnancy.