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Case Reports
. 2024 Jun 7;2024(6):omae056.
doi: 10.1093/omcr/omae056. eCollection 2024 Jun.

Neonatal lupus with complete heart block and long term follow up

Ahmed Qasim Mohammed Alhatemi  1 , Ali Akeel Al-Yacopy  2 , Hashim Talib Hashim  3 , Rand K Abdulhussain  4
Affiliations
Case Reports

Neonatal lupus with complete heart block and long term follow up

Ahmed Qasim Mohammed Alhatemi et al. Oxf Med Case Reports. .

Abstract

We present the case of a 27-year-old pregnant woman, newly diagnosed with Systemic Lupus Erythematosus (SLE) during pregnancy. The patient delivered a newborn at 38 weeks gestation, who, on the first day of life, manifested complete heart block. This case underscores the clinical challenges associated with neonatal lupus, emphasizing the need for collaborative, multidisciplinary management.

Keywords: cardiology; critical care medicine; emergency medicine; obstetrics/gynecology; rheumatology.

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Conflict of interest statement

No conflict of interest to declare.

Figures

Figure 1
Figure 1
(A) Maculopapular on her shin. (B) Painful arthritis of the small joints of the hand with rash. (C) Maculopapular rash on her back. (D) Malar rash.
Figure 2
Figure 2
Neonatal Doppler ultrasound showing a single viable, active, and normal-tone female fetus in cephalic presentation and longitudinal lie. Gestational age: 31 weeks. Estimated fetal weight (EFW) = 1950 grams, with no sonographic signs of intrauterine growth restriction (IUGR). Normal amount of amniotic fluid and no gross fetal congenital abnormalities observed. Normal middle cerebral artery blood flow and spectral waveform. Biophysical profile = 8/8.
Figure 3
Figure 3
Neonatal ECG showing complete heart block with a heart rate of 78 beats per minute.
Figure 4
Figure 4
Neonatal chest X-ray PA view labelled as normal.
See this image and copyright information in PMC

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