Pemphigus in pregnancy
Article Abstract:
Pemphigus vulgaris is a condition marked by blisters on the skin and mucous membranes such as the mouth. During a normal immune response antibodies are produced in the body to fight off foreign substances. Sometimes the immune system fails to recognize its own cells and attacks them, producing an autoimmune response. Patients with pemphigus have antibodies that attack their own cells in the epidermal layer of the skin. Pemphigus during pregnancy is uncommon, with only 48 reported cases. A 21-year-old pregnant woman complaining of mouth sores and blisters on her body was diagnosed with pemphigus. Treatment of pemphigus with steroid drug therapy offered symptomatic relief. Her child was born with no residual effects of the drug therapy or evidence of any blisters suggestive of pemphigus. Close monitoring of mother and infant are suggested, as pemphigus may intensify as the pregnancy progresses.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1989
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Uterine artery embolization: an underused method of controlling pelvic hemorrhage
Article Abstract:
Embolization of the uterine arteries may be an underused but superior method for controlling pelvic bleeding. Arteries are embolized by first identifying the bleeding arteries angiographically and then injecting Gelfoam through catheters until arterial blood flow ceases. Doctors should first be familiar with pathways of pelvic arteries. Arterial embolization produces low complication rates, a low incidence of rebleeding, and high success rates. The technique avoids many of the risks inherent in surgical ligation and preserves fertility. Arterial embolization should be used initially to control pelvic hemorrhage in postpartum, postcesarean, and postsurgical patients.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1997
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Arterial balloon occlusion of the hypogastric arteries:a life-saving procedure for severe obstetric hemorrhage
Article Abstract:
Two cases are described of massive postpartum bleeding that was treated by threading a balloon-tipped catheter through the leg arteries into the pelvis and inflating the balloons inside the arteries that were bleeding. In both cases, this stopped the bleeding and both patients recovered completely even though both had gone into shock.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 2001
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