Patients With Dermatomyositis/Polymyositis During Pregnancy

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Authors

  • Fasoulakis N. Zacharias Doctor in Obstetrics and Gynaecology, Democritus University of Thrace, Alexandroupolis, Greece
  • Galanopoulos G. Nikolaos Clinical Director in Rheumatology, Democritus University of Thrace, Alexandroupolis, Greece
  • Kontomanolis N. Emmanuel Assistant Professor in Obstetrics and Gynaecology, Democritus University of Thrace, Alexandroupolis, Greece

DOI:

https://doi.org/10.17140/GOROJ-4-138

Keywords:

Dermatomyositis, Polymyositis, Pregnancy, CPK, Immunoglobulin, Prednisolone

Abstract

Dermatomyositis (DM) and polymyositis (PM) belong to the group of inflammatory muscle diseases characterized by inflammation of the muscles. These diseases are usually studied together as dermatomyositis/polymyositis (DM/PM). Regarding pregnant patients affected with DM/PM, important individual issues arise as: (1) Do female patients with DM/PM successfully complete pregnancy, giving birth to healthy infants or is there high risk of complications for both mother and fetus? (2) Is there a connection between activity of DM/PM and high risk of complications during gestation? (3) Does pregnancy increase the risk of DM/PM activation? (4) Does pregnancy increase the risk of DM/PM relapse during or right after gestation? After our attempt to answer these questions, we will refer to the treatment of the disease during pregnancy and the effect it could have on the completion of pregnancy.

References

Bohan A, Peter JB, Bowman RL, Pearson CM. Computer-assisted analysis of 153 patients with polymyositis and dermatomyositis. Medicine (Baltimore). 1977; 56(4): 255-286. Web site. http://journals.lww.com/md-journal/ Citation/1977/07000/A_Computer_Assisted_Analysis_of_153_ Patients_With.1.aspx. Accessed March 14, 2017.

Tymms KE, Webb J. Dermatopolymyositis and other connective tissue diseases: A review of 105 cases. J Rheumatol. 1985; 12(6): 1140-1148. Web site. http://europepmc.org/abstract/ med/4093921. Accessed March 14, 2017.

Gerami P, Schope JM, McDonald L, Walling HW, Sontheimer RD. A systematic review of adult-onset clinically amyopathic dermatomyositis (dermatomyositis siné myositis): A missing link within the spectrum of the idiopathic inflammatory myopathies. J Am Acad Dermatol. 2006; 54(4): 597-613. doi: 10.1016/j. jaad.2005.10.041

Oddis CV, Conte CG, Steen VD, Medsger Jr TA. Incidence of polymyositis-dermatomyositis: A 20-year study of hospital diagnosed cases in Allegheny County, PA 1963-1982. J Rheumatol. 1990; 17(10): 1329-1334. Web site. http:// europepmc.org/abstract/med/2254890. Accessed March 14, 2017.

Madu AE, Omih E, Baguley E, Lindow SW. Juvenile dermatomyositis in pregnancy. Case Rep Obstet Gynecol. 2013; 2013. doi: 10.1155/2013/890107

Ishii N, Ono H, Kawaguchi T, Nakajima H. Dermatomyositis and pregnancy. Dermatologica. 1991; 183(2): 146-149. doi: 10.1159/000247657

Papapetropoulos T, Kanellakopoulou N, Tsibri E, Paschalis C. Polymyositis and pregnancy: Report of a case with three pregnancies. J Neurol Neurosurg Psychiatry. 1998; 64(3): 406- 408. doi: 10.1136/jnnp.64.3.406

Gutierrez G, Dagnino R, Mintz G. Polymyositis/ dermatomyositis and pregnancy. Arthritis Rheumatism. 1984; 27(3): 291-294. doi: 10.1002/art.1780270307

Ohno T, Imai A, Tamaya T. Successful outcome of pregnancies complicated with dermatomyositis. Case reports. Gynecol Obstet Invest. 1992; 33(3): 187-189. doi: 10.1159/000294879

Missumi LS, Souza FH, Andrade JQ, Shinjo SK. Pregnancy outcomes in dermatomyositis and polymyositis patients. Rev Bras Reumatol. 2015; 55(2): 95-102. doi: 10.1016/j. rbr.2014.10.001

Skomsvoll JF, Østensen M, Irgens LM, Baste V. Obstetrical and neonatal outcome in pregnant patients with rheumatic disease. Scand J Rheumatol. 1998; 27(Supp107): 109-112. doi: 10.1080/03009742.1998.11720781

Vancsa A, Ponyi A, Constantin T, Zenher M, Dankό K. Pregnancy outcome in idiopathic inflammatory myopathy. Rheumatol Int. 2007; 27(5): 435-439. doi: 10.1007/s00296-006- 0239-8

Chopra S, Suri V, Bagga R, Thami MR, Sharma A, Bambery P. Autoimmune inflammatory myopathy in pregnancy. Medscape J Med. 2008; 10(1): 17. Web site. http://www.medscape.com/ viewarticle/567525_2. Accessed March 14, 2017.

Iba-Ba J, Mayi-Tsonga S, Ibouili Bignoumba R, et al. Dermatomyositis and pregnancy: A case in Gabon. Med Trop (Mars). 2009; 69(5): 503-505.

Kaddour N, Snoussi M, Marzouk S, et al. Pregnancy in dermatomyositis and polymyositis. Tunis Med. 2012; 90(8-9): 606-612. Web site. http://europepmc.org/abstract/ med/22987374. Accessed March 14, 2017.

Silva CA, Sultan SM, Isenberg DA. Pregnancy outcome in adult-onset idiopathic inflammatory myopathy. Rheumatology (Oxford). 2003; 42(10): 1168-1172. doi: 10.1093/rheumatology/ keg318

Pinal-Fernandez I, Selva-O’Callaghan A, Fernandez-Codina A, et al. Pregnancy in adult-onset idiopathic inflammatory myopathy: Report from a cohort of myositis patients from a single center. Semin Arthritis Rheum. 2014; 44(2): 234-240. doi: 10.1016/j.semarthrit.2014.05.004

Park IW, Suh YJ, Han JH, et al. Dermatomyositis developing in the first trimester of pregnancy. Korean J Intern Med. 2003; 18(3): 196-198. doi: 10.3904/kjim.2003.18.3.196

Kofteridis DP, Malliotakis PI, Sotsiou F, Vardakis NK, Vamvakas LN, Emmanouel DS. Acute onset of dermatomyositis presenting in pregnancy with rhabdomyolysis and fetal loss. Scand J Rheumatol. 1999; 28(3): 192-194.

Tojyo K, Sekijima Y, Hattori T, et al. A patient who developed dermatomyositis during the 1st trimester of gestation and improved after abortion. Rinsho Shinkeigaku. 2001; 41(9): 635- 638. Web site. http://europepmc.org/abstract/med/11968753. Accessed March 14, 2017.

Pasrija S, Rana R, Sardana K, Trivedi SS. A case of autoimmune myopathy in pregnancy. Indian J Med Sci. 2005; 59(3): 109-112. Web site. https://tspace.library.utoronto.ca/ handle/1807/22595. Accessed March 14, 2017.

Kanoh H, Izumi T, Seishima M, Nojiri M, Ichiki Y, Kitajima Y. A case of dermatomyositis that developed after delivery: The involvement of pregnancy in the induction of dermatomyositis. Br J Dermatol. 1999; 141(5): 897-900. doi: 10.1046/j.1365- 2133.1999.03165.x

Lee SI, Yoo WH. Postpartum-onset dermatomyositis: Case report and literature review. Mod Rheumatol. 2002; 12(4): 362- 365. doi: 10.1007/s101650200066

Yassaee M, Kovarik CL, Werth VP. Pregnancy-associated dermatomyositis. Arch Dermatol. 2009; 145(8): 952-953.

Ochiai M, Sato E, Tanaka E, et al. Successful delivery in a patient with clinically amyopathic dermatomyositis during pregnancy despite first-trimester acute exacerbation of interstitial lung disease. Mod Rheumatol. 2015; 27(2): 1-5. doi: 10.3109/14397595.2014.975906

Williams L, Chang PY, Park E, Gorson KC, Bayer-Zwirello L. Successful treatment of dermatomyositis during pregnancy with intravenous immunoglobulin monotherapy. Obstet Gynecol. 2007; 109: 561-563. doi: 10.1097/01. AOG.0000253244.45837.7c

Nozaki Y, Ikoma S, Funauchi M, Kinoshita K. Respiratory muscle weakness with dermatomyositis during pregnancy: Successful treatment with intravenous immunoglobulin therapy. J Rheumatol. 2008; 35(11): 2289. doi: 10.3899/jrheum.080389

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Published

2017-03-30

How to Cite

Fasoulakis N. Zacharias, Galanopoulos G. Nikolaos, & Kontomanolis N. Emmanuel. (2017). Patients With Dermatomyositis/Polymyositis During Pregnancy. Gynecology and Obstetrics Research, 4(1), 11–15. https://doi.org/10.17140/GOROJ-4-138

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