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Case Reports in Obstetrics and Gynecology
Volume 2013 (2013), Article ID 890107, 3 pages
http://dx.doi.org/10.1155/2013/890107
Case Report

Juvenile Dermatomyositis in Pregnancy

1Women and Children Hospital, Hull Royal Infirmary, Anlaby Road, Hull HU3 2JZ, UK
2Department of Rheumatology, Hull Royal Infirmary, Anlaby Road, Hull HU3 2JZ, UK

Received 9 February 2013; Accepted 19 March 2013

Academic Editors: C. Ficicioglu, C. S. Hsu, and T. Levy

Copyright © 2013 Anthony Emeka Madu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Juvenile dermatomyositis has variable clinical presentations both in and outside of pregnancy. A literature review indicated that optimal maternal and fetal outcomes can be anticipated when the pregnancy is undertaken while the disease is in remission. Poorer outcomes are associated with flare-up of the disease in early pregnancy compared with exacerbation in the second or third trimester, when fetal prognosis is usually good. We present a case of JDM in pregnancy with disease exacerbation late in pregnancy and review of the relevant literature.