Pregnancy-Associated Dermatomyositis

Yassaee, Mina; Kovarik, Carrie L.; Werth, Victoria P.

doi:10.1001/archdermatol.2009.159

Cited by 11 publications

(6 citation statements)

References 4 publications

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“…Regarding the disease activity of preexisting DM/PM during pregnancy, DM/PM remained inactive/in remission during pregnancy in 105 cases where 50 were in the active phase. Increased activity (flare/exacerbation/relapse) of DM/PM was observed during pregnancy in six patients 9–12 and after delivery in nine patients 5,14–16 . Decreased disease activity (disease improvement/resolution) during gestation and the postpartum period was documented in eight 5,17 and three 14 cases, respectively.…”

Section: Resultsmentioning

confidence: 95%

“…Increased activity (flare/exacerbation/relapse) of DM/PM was observed during pregnancy in six patients [9][10][11][12] and after delivery in nine patients. 5,[14][15][16] Decreased disease activity (disease improvement/resolution) during gestation and the postpartum period was documented in eight 5,17 and three 14 cases, respectively.…”

Section: Pregnancy In Dm/pmmentioning

confidence: 99%

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Pregnancy in adult‐onset dermatomyositis/polymyositis: A systematic review

Tang

Zhou

Lan

et al. 2022

American J Rep Immunol

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Background: Idiopathic inflammatory myopathy (IIM) in pregnancy is uncommon but may result in complications for both mother and the fetus. Aim:In this systematic review, we summarized the current literature investigating outcomes of pregnancy related to the dermatomyositis/polymyositis (DM/PM) process. Content:We searched PubMed, Embase, Cochrane Library, and Web of Science databases and included 61 studies reporting the disease course, pregnancy outcomes, and management of both pregnancy and DM/PM in the final analysis.The specific information of 221 pregnancies was extracted and these pregnancies were divided into three distinct forms: pregnancies after disease onset (n = 159), pregnancies with new disease onset (n = 37), and pregnancies followed by postpartum onset (n = 25). In most cases, DM/PM disease activity remained stable or improved throughout pregnancy (80.2%) and the postpartum period (83.9%). Active DM/PM during pregnancy significantly increased the risk of stillbirth or neonatal death (12% vs. 1%, P = .005) and preterm birth (34.7% vs. 11%, P < .001). The rates of other poor outcomes (total fetal loss, low birth weight, and intrauterine growth retardation) were also increased in pregnancies with active disease. Mainstay treatments for active DM/PM during pregnancy are glucocorticoids and intravenous immunoglobins. Implications:The present results underline the importance of good control of myopathy in optimizing the pregnancy outcomes of women with DM/PM.

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Section: Resultsmentioning

confidence: 95%

Section: Pregnancy In Dm/pmmentioning

confidence: 99%

Pregnancy in adult‐onset dermatomyositis/polymyositis: A systematic review

Tang

Zhou

Lan

et al. 2022

American J Rep Immunol

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“…Other case reports which have reported myositis after child birth or abortion, suggesting that the fetal antigens or maternal hormonal changes precipitate disease activity during pregnancy. 17 – 22 …”

Section: Discussionmentioning

confidence: 99%

“… 21 Yassaee et al reported a case of amyopathic dermatomyositis (ADM) following a spontaneous abortion and progressed 2 years later to classic DM following the delivery of a healthy baby. 22 …”

Section: Discussionmentioning

confidence: 99%

Postpartum Polymyositis Following Intrauterine Fetal Death

Borse

Sahoo

Anand³

et al. 2020

Indian Journal of Critical Care Medicine

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A bstract Polymyositis (PM) is an uncommon inflammatory myopathy that affects striated muscles. It causes weakness of the limb girdles, neck, and pharyngeal muscles. We are presenting a case of PM which manifested after intrauterine death (IUD). The patient was referred to our hospital for breathing difficulty, 4 days after delivery of a dead fetus. Initially, she was treated in line of puerperal sepsis and peripartum cardiomyopathy. Patient's cardiopulmonary functions improved but she had persistent high-grade fever. Gross muscle weakness was found on day 5 of admission, involving all four limbs, predominantly in proximal muscles and she had dark colored urine. Laboratory tests revealed myoglobinuria, high serum creatine phosphokinase (CPK) levels, and high lactate dehydrogenase (LDH) levels. Polymyositis diagnosed on the basis of high CPK levels, magnetic resonance imaging (MRI) of cervical spine, electromyography (EMG), and muscle biopsy findings. We question, whether the PM could be pathogenically related to the pregnancy? Literature review of the previously reported cases of PM/dermatomyositis and our case report suggests that pregnancy can trigger the new onset of PM. How to cite this article Borse MP, Sahoo TK, Anand KV, Kumar M, Panda D. Postpartum Polymyositis Following Intrauterine Fetal Death. Indian J Crit Care Med 2020;24(8):731–734.

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“…Generalized forms of skeletal muscle inflammation, such as generalized inflammatory myopathies, polymyositis, and dermatomyositis, have been reported in pregnancy. [11][12][13][14] Thus, it is essential that ophthalmologists and obstetricians be informed regarding this uncommon presentation in pregnant women. The report adhered to the tenets of the Declaration of Helsinki.…”

mentioning

confidence: 99%

Lateral Rectus Myositis Mimicking an Abducens Nerve Palsy in a Pregnant Woman

Haslinda

Shatriah

Yaakub

et al. 2014

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Myositis is a rare unknown inflammatory disorder of the skeletal muscle tissue. Generalized inflammatory myopathies, polymyositis, and dermatomyositis have been reported during pregnancy. Isolated orbital myositis in pregnancy has not been previously described in the literature. The authors report a case of left isolated orbital myositis in a primigravida at 38 weeks gestation affecting the patient's left lateral rectus muscle. MRI of the orbit was consistent with the diagnosis. She showed remarkable clinical improvement with oral corticosteroids therapy.

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Pregnancy-Associated Dermatomyositis

Cited by 11 publications

References 4 publications

Pregnancy in adult‐onset dermatomyositis/polymyositis: A systematic review

Pregnancy in adult‐onset dermatomyositis/polymyositis: A systematic review

Postpartum Polymyositis Following Intrauterine Fetal Death

Lateral Rectus Myositis Mimicking an Abducens Nerve Palsy in a Pregnant Woman

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