Malaweera A1* and Huang LL2
1Department of Medicine, Monash University, Australia
2Department of Nephrology, Box Hill Hospital, Australia
Systemic Lupus Erythematosus (SLE) is an autoimmune systemic disease that is more common in women of child bearing age. Although the impact of pregnancy on SLE activity has been debated in the literature, majority of studies have noted increased SLE activity during pregnancy, causing peri-partum complications like pre-eclampsia, pre-term labour and stillbirth. Our case is a 31-yearold woman who suffered pre-eclampsia during her pregnancy, presenting one month post-partum with hemolytic anemia, decompensated cardiomyopathy with serositis and acute renal impairment. She was diagnosed with systemic lupus erythematosus with lupus nephritis and started on immunosuppressive therapy with hydroxychloroquine, corticosteroids and mycophenolate mofetil. This case highlights the importance of understanding the heterogeneous nature of SLE presentation with multiple organ involvement and the impact on SLE activity on pregnancy and its outcomes.
Malaweera A, Huang LL. A 31 Year Old Lady with Post-Partum Systemic Lupus Erythematosus. Ann Clin Case Rep. 2019; 4: 1662.