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Update on pregnancy in Takayasu arteritis—A narrative review
Author(s) -
Padiyar Shivraj,
Manikuppam Prathyusha,
Kabeerdoss Jayakanthan,
Rathore Swati,
Danda Debashish
Publication year - 2021
Publication title -
international journal of rheumatic diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.795
H-Index - 41
eISSN - 1756-185X
pISSN - 1756-1841
DOI - 10.1111/1756-185x.14109
Subject(s) - medicine , pregnancy , fertility , vasculitis , intrauterine growth restriction , obstetrics , takayasu arteritis , arteritis , fetal growth , disease , fetus , hellp syndrome , eclampsia , surgery , population , genetics , environmental health , biology
Takayasu arteritis (TA) is a chronic, idiopathic large‐vessel vasculitis that affects women of reproductive age, and has significant maternal and fetal implications. Although there are contrasting data on the effect of TA on fertility, most studies have shown that fertility outcomes remain unaffected. The disease activity of TA usually either remains stable or decreases during pregnancy. The important fetomaternal complications are maternal hypertension, pre‐eclampsia, prematurity, and intrauterine growth restriction. To reduce maternal and fetal morbidity, controlling the disease before conception is important. This review article discusses the various implications, challenges, and medical and endovascular management of TA during pregnancy.