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Challenges of Takayasu Arteritis in Pregnancy: A Case Report

机译：妊娠期Takayasu动脉炎的挑战：案例报告

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Takayasu arteritis is a rare, chronic vasculitis of unknown etiology characterized by inflammation of the aorta and its main branches. Although Takayasu arteritis mostly affects women of childbearing age, there is a paucity in the literature on pregnancy associated with Takayasu arteritis. Pregnant patients are at increased risk of cardiovascular complications, including hypertension and congestive heart failure, which may jeopardize both maternal and fetal outcomes. Furthermore, optimal management has not yet been established for pregnant patients with Takayasu arteritis, posing a clinical challenge. We present a case of a young woman with Takayasu arteritis whose symptoms and disease activity improved during 2 pregnancies. Although her first pregnancy was complicated with preeclampsia, gestational diabetes, and preterm vaginal delivery, her second pregnancy was uneventful. This case provides a rare glimpse of Takayasu arteritis in pregnancy and highlights the challenges of medical management in gravid patients.
机译：高山动脉炎是一种罕见的慢性血管炎，其未知病因的特征是主动脉炎症及其主要分支的炎症。虽然高山动脉炎主要影响育龄年龄的女性，但在与高山动脉炎相关的妊娠中有缺乏缺乏。怀孕患者的心血管并发症的风险增加，包括高血压和充血性心力衰竭，这可能会危及孕产妇和胎儿结果。此外，尚未为怀孕的高山动脉炎患者建立最佳管理，造成临床挑战。我们提出了一个有Takayasu动脉炎的年轻女性的案例，其症状和疾病活动在2次怀孕期间改善。虽然她的第一次妊娠与先兆子痫，妊娠期糖尿病和早产阴道分娩复杂，但她的第二次妊娠是不行的。这种情况在怀孕中罕见地瞥见了高山动脉炎，并突出了令人难题患者中医学管理的挑战。

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