What is the presentation and progression of Takayasu arteritis in pregnancy?

Updated: Nov 14, 2018
  • Author: Jefferson R Roberts, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

Special mention should be made regarding pregnant women. The inflammatory activity is not enhanced by the pregnancy, but the perinatal period may be complicated by the associated symptoms. Blood pressure may not be measurable due to pulselessness, thus making patient monitoring difficult, if not impossible. Often, calf pressures need to be obtained.

In pregnant women with Takayasu arteritis, uncontrolled blood pressure may lead to subarachnoid/intracranial hemorrhage and subsequent seizures, eye changes, preeclampsia, aortic regurgitation, syncope, fetal complications, and nephrotic syndrome.


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