Inflammatory bowel disease and pregnancy: report of two cases treated with infliximab and a review of the literature

被引:14
作者
Correia, Lucianna Motta [1 ]
Bonilha, Danielle Queiroz [1 ]
Ramos, Juliana Dantas [1 ]
Ambrogini, Orlando [1 ]
Miszputen, Sender Jankiel [1 ]
机构
[1] Univ Fed Sao Paulo, Escola Paulista Med, BR-04023062 Sao Paulo, Brazil
关键词
inflammatory bowel disease; infliximab; pregnancy; INDUCED CONGENITAL MALFORMATIONS; CROHNS-DISEASE; POSSIBLE TERATOGENICITY; RHEUMATOID-ARTHRITIS; PRENATAL EXPOSURE; SULFASALAZINE; SAFETY; WOMEN; METAANALYSIS; THERAPY;
D O I
10.1097/MEG.0b013e328329543a
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Inflammatory bowel disease is relatively frequent in women of childbearing age. Disease management requires greater attention during this clinical condition because of potential risk of maternal-fetal complications. Infliximab has been shown to be safe during pregnancy and lactation, but reports in the literature are scarce. We report two cases of refractory Crohn's disease treated with infliximab with good results, in women. Both patients became pregnant during maintenance regimen and treatment was continued. The literature regarding pregnant patients with inflammatory bowel disease was reviewed. Eur J Gastroenterol Hepatol 22: 1260- 1264 (C) 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.
引用
收藏
页码:1260 / 1264
页数:5
相关论文
共 49 条
  • [1] Inflammatory bowel disease in pregnancy
    Alstead, EM
    Nelson-Piercy, C
    [J]. GUT, 2003, 52 (02) : 159 - 161
  • [2] Pregnancy outcome after cyclosporine therapy during pregnancy: A meta-analysis
    Bar-Oz, B
    Hackman, R
    Einarson, T
    Koren, G
    [J]. TRANSPLANTATION, 2001, 71 (08) : 1051 - 1055
  • [3] Beniada A, 2005, J Gynecol Obstet Biol Reprod (Paris), V34, P581
  • [4] BERKOVITCH M, 1994, OBSTET GYNECOL, V84, P535
  • [5] INVITRO METABOLISM OF PREDNISOLONE, DEXAMETHASONE, BETAMETHASONE, AND CORTISOL BY HUMAN PLACENTA
    BLANFORD, AT
    MURPHY, BEP
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1977, 127 (03) : 264 - 267
  • [6] Pregnancy before and after the diagnosis of inflammatory bowel diseases: Retrospective case-control study
    Bortoli, Aurora
    Saibeni, Simone
    Tatarella, Maria
    Prada, Alberto
    Beretta, Luigi
    Rivolta, Roberta
    Politi, Patrizia
    Ravelli, Paolo
    Imperiali, Gianni
    Colombo, Enrico
    Pera, Angelo
    Daperno, Marco
    Carnovali, Marino
    de Franchis, Roberto
    Vecchi, Maurizio
    [J]. JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2007, 22 (04) : 542 - 549
  • [7] SAFETY OF METRONIDAZOLE IN PREGNANCY - A METAANALYSIS
    BURTIN, P
    TADDIO, A
    ARIBURNU, O
    EINARSON, TR
    KOREN, G
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1995, 172 (02) : 525 - 529
  • [8] Bush M C, 2004, J Matern Fetal Neonatal Med, V15, P237, DOI 10.1080/14767050410001668662
  • [9] Calderwood Audrey H, 2004, MedGenMed, V6, P14
  • [10] A study at 10 medical centers of the safety and efficacy of 48 flexible sigmoidoscopies and 8 colonoscopies during pregnancy with follow-up of fetal outcome and with comparison to control groups
    Cappell, MS
    Colon, VJ
    Sidhom, OA
    [J]. DIGESTIVE DISEASES AND SCIENCES, 1996, 41 (12) : 2353 - 2361