Multiple vasculitic ulcers with lupus nephritis flare in pregnancy

Vijoy Kumar Jha; KV Padmaprakash; T Rajkamal; Ajay Sharma

doi:10.4103/cmi.cmi_30_18

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Year : 2019 | Volume : 17 | Issue : 3 | Page : 85-88

Multiple vasculitic ulcers with lupus nephritis flare in pregnancy

Vijoy Kumar Jha¹, KV Padmaprakash², T Rajkamal³, Ajay Sharma⁴
¹ Department of Nephrology, Command Hospital Air Force, Bangalore, Karnataka, India
² Department of Medicine and GE Medicine, INHS Kalyani, Vishakhaptanam, Andhapradesh, India
³ Department of Dermatology, INHS Kalyani, Vishakhaptanam, Andhapradesh, India
⁴ Department of Pathology, INHS Kalyani, Vishakhaptanam, Andhapradesh, India

Correspondence Address:
Dr. Vijoy Kumar Jha
Physician and Nephrologist, Department of Nephrology, Command Hospital Air Force, Old Air Port Road , Bangalore - 560 007, Karnataka
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/cmi.cmi_30_18

Vasculitic ulcer in a case of systemic lupus erythematosus is considered as nonspecific cutaneous manifestations and those presenting with multiorgan involvement in pregnancy carry a higher maternal and fetal risk with disease flares. Presentation of a pregnant patient with severe lupus nephritis (LN) along with multiple cutaneous vasculitic ulcers is very uncommon. Aggressive treatment with immunosuppressants along with supportive treatment of cutaneous ulcerations will not only control the disease flares including LN but also result in complete healing of ulcerations.

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