A rare case of recurrent pregnancy loss associated with high-titer positivity for perinuclear anti-neutrophilic cytoplasmic antibodies
- PMID: 23162365
- PMCID: PMC3493841
- DOI: 10.4103/0974-1208.101027
A rare case of recurrent pregnancy loss associated with high-titer positivity for perinuclear anti-neutrophilic cytoplasmic antibodies
Abstract
We present a case of recurrent pregnancy loss associated with unusual constellation of utoimmunity-related features such as hypertension, severe hrombocytopenia, hypothyroidism and persistent high titers of perinuclear antineutrophilic cytoplasmic antibodies. Her clinical features did not fit into a particular diagnosis of vasculitides, systemic lupus erythematosis (SLE) or other known autoimmune diseases where this autoantibody is found in high titers. We report the unusual association of this autoantibody with recurrent early fetal demise in this case.
Keywords: Fetal demise; hypertension; immune thrombocytopenia; perinuclear antineutrophilic cytoplasmic antibodies; recurrent pregnancy loss.
Conflict of interest statement
Similar articles
-
Anti-neutrophil cytoplasmic antibodies (ANCA) in systemic lupus erythematosus: prevalence, clinical associations and correlation with other autoantibodies.J Assoc Physicians India. 2004 Jul;52:533-7. J Assoc Physicians India. 2004. PMID: 15645975
-
Relationship between antiphospholipid antibodies and recurrent fetal loss in patients with systemic lupus erythematosus and apparently healthy women.J Rheumatol. 1989 Jun;16(6):768-72. J Rheumatol. 1989. PMID: 2778759
-
Diagnostic role of anti-Saccharomyces cerevisiae mannan antibodies combined with antineutrophil cytoplasmic antibodies in patients with inflammatory bowel disease.Dis Colon Rectum. 2002 Aug;45(8):1062-9. doi: 10.1007/s10350-004-6361-3. Dis Colon Rectum. 2002. PMID: 12195191
-
Clinical syndromes associated with lupus anticoagulants.Semin Thromb Hemost. 1994;20(1):16-26. doi: 10.1055/s-2007-1001886. Semin Thromb Hemost. 1994. PMID: 8059230 Review.
-
Neonatal lupus: bedside to bench and back.Scand J Rheumatol. 1996;25(5):271-6. doi: 10.3109/03009749609104057. Scand J Rheumatol. 1996. PMID: 8921918 Review.
References
-
- Cervera R, Balaseh J. Bidirectional effects on autoimmunity and reproduction. Hum Reprod Update. 2008;14:359–66. - PubMed
-
- Carp HJ, Meroni PL, Shoenfeld Y. Autoantibodies as predictors of pregnancy complications. Rheumatol. 2008;47(iii):6–8. - PubMed
-
- Pagnoux C, Le Guern V, Goffinet F. Pregnancies in systemic necrotizing vasculitides: report on 12 women and their 20 pregnancies. Rheumatology (Oxford) 2011;50:953–61. - PubMed
-
- Bansal PJ, Tobin MC. Neonatal microscopic polyangiitis secondary to transfer of maternal myeloperoxidase-antineutrophil cytoplasmic antibody resulting in neonatal pulmonary hemorrhage and renal involvement. Ann Allergy Asthma Immunol. 2004;93:398–401. - PubMed
-
- Silva F, Specks U, Sethi S. Successful pregnancy and delivery of a healthy newborn despite transplacental transfer of antimyeloperoxidase antibodies from a mother with microscopic polyangiitis. Am J Kidney Dis. 2009;54:542–5. - PubMed
Publication types
LinkOut - more resources
Full Text Sources