Pregnancy with Lupus Nephritis A Case report

Systemic lupus erythematosus (SLE) is a multisystem, auto immune , chronic inflammatory disease of unknown etiology with a strong predilection for young women in the reproductive years. The tissues and organs undergo damage mediated by autoantibodies and immune complexes. It is a rare condition occuring in pregnancy with increased fetomaternal complications. Pregnant women with SLE have significantly greater risk of miscarriage, spontaneous abortions, preterm delivery, intra uterine growth retardation , neonatal lupus, stillbirth intrauterine fetal death, preeclampsia and eclampsia . The incidence of renal involvement (lupus nephritis) is same as in the non pregnant patients. Renal flares occur in women with active disease at conception.Pregnancies in women with lupus nephritis are always a high risk situation with challenges. Due to all these a good outcome of pregnancy in women with lupus nephritis was a herculean task. But now with the recent advances and modern management the trend has changed with a good outcome . This paper is such a case report of a pregnant woman with lupus nephritis who had good fetal and maternal outcome due to early diagnosis and effective multi disciplinary approach .