Anti-inflammatory and immunosuppressive drugs and reproduction

被引:371
作者
Ostensen, Monika [1 ]
Khamashta, Munther
Lockshin, Michael
Parke, Ann
Brucato, Antonio
Carp, Howard
Doria, Andrea
Rai, Raj
Meroni, Pierluigi
Cetin, Irene
Derksen, Ronald
Branch, Ware
Motta, Mario
Gordon, Caroline
Ruiz-Irastorza, Guillermo
Spinillo, Arsenio
Friedman, Deborah
Cimaz, Rolando
Czeizel, Andrew
Piette, Jean Charles
Cervera, Ricard
Levy, Roger A.
Clementi, Maurizio
De Carolis, Sara
Petri, Michelle
Shoenfeld, Yehuda
Faden, David
Valesini, Guido
Tincani, Angela
机构
[1] Univ Hosp Bern, Dept Rheumatol & Clin Immunol Allergol, Bern, Switzerland
[2] St Thomas Hosp, Rayne Inst, Lupus Res Inst, London SE1 7EH, England
[3] Cornell Univ, Joan & Sanford Weill Coll Med, Barbara Volcker Ctr Women & Rheumat Dis, Hosp Special Surg, New York, NY USA
[4] Univ Connecticut, Ctr Hlth, Div Rheumat Dis, Dept Med, Farmington, CT USA
[5] Osped Niguarda Ca Granda, Dept Internal Med & Rheumatol, Milan, Italy
[6] Chaim Sheba Med Ctr, Dept Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
[7] Tel Aviv Univ, IL-69978 Tel Aviv, Israel
[8] Univ Padua, Div Rheumatol, Dept Clin & Expt Med, I-35100 Padua, Italy
[9] Univ London Imperial Coll Sci Technol & Med, Sch Med, Dept Obstet & Gynaecol, London, England
[10] Univ Milan, Cattedra Med Interna, I-20122 Milan, Italy
[11] Univ Milan, Inst Obstet & Gynecol, I-20122 Milan, Italy
[12] Univ Med Ctr Utrecht, Dept Rheumatol & Clin Immunol, Utrecht, Netherlands
[13] Univ Utah, Hlth Sci Ctr, Dept Obstet & Gynecol, Salt Lake City, UT USA
[14] Spedali Civil Brescia, Neonatol & Neonatal Intens Care Unit, I-25125 Brescia, Italy
[15] Univ Birmingham, Ctr Immune Regulat, Div Immun & Infect, Birmingham, W Midlands, England
[16] Univ Basque Country, Dept Internal Med, Hosp Cruces, Bizkaia, Spain
[17] Univ Pavia, Dept Obstet & Gynecol, I-27100 Pavia, Italy
[18] Univ Texas, Hlth Sci Ctr, Houston, TX USA
[19] Fdn Policlin Mangiagalli, Milan, Italy
[20] Fdn Community Control Hereditary Dis, Budapest, Hungary
[21] Grp Hosp Pitie Salpetriere, Serv Med Interne, F-75634 Paris, France
[22] Hosp Clin Barcelona, Dept Autoimmune Dis, Barcelona, Spain
[23] Univ Estado, Discipline Rheumatol, Fac Ciencias Med, Rio De Janeiro, Brazil
[24] Univ Cattolica Sacro Cuore, Dept Obstet & Gynecol, I-00168 Rome, Italy
[25] Johns Hopkins Univ, Sch Med, Div Rheumatol, Lupus Ctr, Baltimore, MD USA
[26] Tel Aviv Univ, Chaim Sheba Med Ctr, Dept Med, Tel Hashomer, Israel
[27] Tel Aviv Univ, Chaim Sheba Med Ctr, Ctr Autoimmune Dis, Tel Hashomer, Israel
[28] Univ & Hosp Brescia, Dept Obstet & Gynecol, Brescia, Italy
[29] Univ Roma La Sapienza, Cattedra Reumatol, Rome, Italy
关键词
D O I
10.1186/ar1957
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Rheumatic diseases in women of childbearing years may necessitate drug treatment during a pregnancy, to control maternal disease activity and to ensure a successful pregnancy outcome. This survey is based on a consensus workshop of international experts discussing effects of anti-inflammatory, immunosuppressive and biological drugs during pregnancy and lactation. In addition, effects of these drugs on male and female fertility and possible long-term effects on infants exposed to drugs antenatally are discussed where data were available. Recommendations for drug treatment during pregnancy and lactation are given.
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页数:19
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