Pregnancy outcome and autoantibodies in connective tissue disease

N J McHugh, P A Reilly, L A McHugh

Research output: Contribution to journalArticle

Abstract

Pregnancy outcome before and after onset of disease and the association with present levels of anticardiolipin antibodies (aCL) and other autoantibodies were investigated in rheumatoid arthritis (RA) (117 patients), systemic lupus erythematosus (SLE) (74 patients), and systemic sclerosis (28 patients). Although 78% of the 81 pregnancies in patients with systemic sclerosis occurred before disease onset, pregnancy loss rate was highest in this disease (44%) but in RA (17%) and SLE (18%) was similar to a control population (16%). Elevated levels of IgG aCL were present in one of 4 patients with RA, in one of 5 patients with systemic sclerosis and in the only patient with SLE to have recurrent previous pregnancy loss. Congenital heart block occurred in one of 28 pregnancies from 17 anti-Ro (SSA) positive women with SLE.
Original languageEnglish
Pages (from-to)42-6
Number of pages5
JournalThe Journal of Rheumatology
Volume16
Issue number1
Publication statusPublished - Jan 1989

Keywords

  • Abortion, Spontaneous
  • Adult
  • Arthritis, Rheumatoid
  • Autoantibodies
  • Autoantigens
  • Cardiolipins
  • Connective Tissue Diseases
  • Female
  • Fetal Death
  • Humans
  • Lupus Erythematosus, Systemic
  • Middle Aged
  • Mixed Connective Tissue Disease
  • Pregnancy
  • Pregnancy Complications
  • RNA, Small Cytoplasmic
  • Retrospective Studies
  • Ribonucleoproteins
  • Scleroderma, Systemic

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