妊娠晚期类风湿关节炎的新诊断

S. Qureshi, Mahsa Kanzali, S. Rizvi, Niharika Joolukuntla, B. Fomberstein
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引用次数: 2

摘要

我们在这里报告一个不寻常的情况下,类风湿性关节炎提出了第一次在32周怀孕的病人。尽管经过了不同专业的全面评估,但患者的诊断并未被发现,最初被归因于骨科问题,然后被归因于正常的怀孕症状。患者的症状逐渐恶化,直到她不再能够行走和完成日常活动。类风湿关节炎的初步诊断是极其罕见的,在怀孕期间,由于身体的免疫系统的变化,以适应外来胎儿。此外,怀孕期间发生的生理变化往往会使患者出现关节疼痛和虚弱的临床表现模糊不清。尽管如此,应该进行彻底的检查以排除潜在的风湿病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
New diagnosis of rheumatoid arthritis during the third trimester of pregnancy
We report here an unusual case of rheumatoid arthritis presenting for the first time in a 32-week pregnant patient. Despite thorough evaluations from different specialties, the patient’s diagnosis went undiscovered originally being attributed to orthopedic issues and then to normal symptoms of pregnancy. The patient’s symptoms progressively worsened until she was no longer able to ambulate and complete her daily activities. A primary diagnosis of rheumatoid arthritis is exceedingly rare during pregnancy due to changes in the body’s immune system that accommodate the foreign fetus. Also physiologic changes that occur during pregnancy can often cloud the clinical picture of a patient presenting with joint pain and weakness. Nonetheless, a thorough workup should be conducted to rule out underlying rheumatologic disease.
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