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Successful pregnancy and follow-up after in vitro fertilization of a kidney transplant patient with systemic lupus erythematosus, primary biliary cholangitis, and hypothyroidism.
Gastañaga-Holguera, Teresa; Calvo, Marta; Gómez-Irwin, Laura; Gesto, Isabel Campo; González-González, Virginia; Vidaurreta, Marta.
Afiliação
  • Gastañaga-Holguera T; Assisted Reproduction Department. Hospital Clinico San Carlos, Madrid, Spain.
  • Calvo M; Assisted Reproduction Department. Hospital Clinico San Carlos, Madrid, Spain.
  • Gómez-Irwin L; Gastroenterology Department. Hospital Universitario de Cruces, Bizkaia, Spain.
  • Gesto IC; Prenatal Diagnosis Department. Hospital Clinico San Carlos, Madrid, Spain.
  • González-González V; Assisted Reproduction Department. Hospital Clinico San Carlos, Madrid, Spain.
  • Vidaurreta M; Assisted Reproduction Department. Hospital Clinico San Carlos, Madrid, Spain.
JBRA Assist Reprod ; 25(4): 657-660, 2021 10 04.
Article em En | MEDLINE | ID: mdl-34415135
This report describes the case of a female kidney transplant patient with systemic lupus erythematosus, primary biliary cholangitis, and postsurgical hypothyroidism due to Grave's disease who had a healthy newborn after in vitro fertilization (IVF). Cases of successful pregnancy involving women who underwent IVF after kidney transplantation have been reported. Normal and stable renal function, adequate immunosuppressant therapy, and well-managed blood pressure are requirements to be eligible for IVF and pregnancy. Primary biliary cholangitis without cirrhosis does not seem to worsen during pregnancy and IVF must be individualized in patients with systemic lupus erythematosus. There are no similar case reports involving kidney transplant patients or individuals with autoimmune disorders, so the decision to perform IVF had to be individualized in order to avoid complications for the mother and fetus.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Rim / Hipotireoidismo / Cirrose Hepática Biliar / Lúpus Eritematoso Sistêmico Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Newborn / Pregnancy Idioma: En Revista: JBRA Assist Reprod Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Espanha País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Rim / Hipotireoidismo / Cirrose Hepática Biliar / Lúpus Eritematoso Sistêmico Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Newborn / Pregnancy Idioma: En Revista: JBRA Assist Reprod Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Espanha País de publicação: Brasil