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Case Reports in Rheumatology
Volume 2017, Article ID 8247591, 2 pages
Case Report

The Child as a Surrogate for Diagnosis of Lupus in the Mother

1Rheumatology Unit, Department of Internal Medicine, Lagos State University Teaching Hospital, Ikeja, Nigeria
2Rheumatology Unit, Internal Medicine Department, Federal Medical Centre, Umuahia, Nigeria
3Rheumatology Unit, Department of Internal Medicine, University of Benin Teaching Hospital, Benin City, Nigeria
4Rheumatology Unit, Department of Internal Medicine, University of Ilorin Teaching Hospital, Ilorin, Nigeria

Correspondence should be addressed to Kenneth A. Ohagwu; moc.oohay@nodsyra

Received 20 November 2016; Revised 24 January 2017; Accepted 5 February 2017; Published 13 March 2017

Academic Editor: Tsai-Ching Hsu

Copyright © 2017 Olufemi O. Adelowo 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.


Introduction. Neonatal lupus erythematosus (NLE) is an acquired disease of the newborn caused by transplacental transfer of maternal anti-Ro/SSA, anti-La/SSB, and infrequently anti-U1 RNP antibodies. Methodology. This is a case report of a male infant delivered via Caesarean section at 36-week gestation following detection of fetal bradycardia during routine antenatal clinic visit. Results. The mother was seropositive for antinuclear antibody (ANA) and anti-Ro/SSA and had elevated erythrocyte sedimentation rate. The baby was positive for ANA, extractable nuclear antigen (ENA), and anti-Ro/SSA. Pediatric echocardiography was abnormal and electrocardiography confirmed complete heart block.