Abstract

BATUN GARRIDO, José Antonio de Jesús; ARTEAGA GARCIA, Ulises Guadalupe  and  HERNANDEZ NUNEZ, Eufrates. Neurolupus and pregnancy: An ethical and therapeutic dilemma in a second level hospital. Rev.Colomb.Reumatol. [online]. 2016, vol.23, n.3, pp.223-226. ISSN 0121-8123.  https://doi.org/10.1016/j.rcreu.2016.04.003.

Optic neuritis secondary to systemic lupus erythematosus is a rare manifestation with a prevalence of 1%. The case described concerns a patient who presented with optic neuritis associated with SLE. She was 19 weeks pregnant, and required pulses with methyl-prednisolone and cyclophosphamide, which are within the category D drugs used during pregnancy. Three weeks later, she presented with uterine activity, and went into labor, with a fetus of 22 weeks gestation and weighing 430 g being obtained, which died 48 h later. In medical practice there are ethical guidelines and economic obstacles to carrying out diagnostic and therapeutic protocols established by limiting clinical practice.

Keywords : Optic neuritis; Systemic lupus erythematosus; Neuropsychiatric lupus.

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