An IVF-Twin Pregnancy Complicated with Cutaneous Polyarteritis Nodosa: A Case Report

Authors

  • Namık Kemal Duru Gulhane Military Medical Academy Department of Obstetrics and Gynecology, Ankara
  • Murat Dede Gulhane Military Medical Academy Department of Obstetrics and Gynecology, Ankara
  • İbrahim Alanbay Gulhane Military Medical Academy Department of Obstetrics and Gynecology, Ankara
  • Coşan Terek Gulhane Military Medical Academy Department of Obstetrics and Gynecology, Ankara
  • Kazım Gezginç Gulhane Military Medical Academy Department of Obstetrics and Gynecology, Ankara
  • Hüseyin Aksoy Gulhane Military Medical Academy Department of Obstetrics and Gynecology, Ankara
  • Mustafa Ulubay Gulhane Military Medical Academy Department of Obstetrics and Gynecology, Ankara
  • İskender Başer Gulhane Military Medical Academy Department of Obstetrics and Gynecology, Ankara

Keywords:

Polyarteritis nodosa, Pregnancy, Management, Prognosis

Abstract

A twin pregnancy after the Assisted Reproductive Technology (ART) complicated with cutaneous polyarteritis nodosa (PAN) is presented.
A 28-years-old, nulliparous woman developed cutaneous PAN four years before the IVF-pregnancy. She had 2 years of marriage with no contraception method. After infertility work-up she was diagnosed as having unexplained infertility. Three consecutive intrauterine insemination cycles were unsuccessful. IVF with ICSI was performed and she achieved twin pregnancy. Blood pressure and biochemical analyses were normal during pregnancy. LMWH Clexane 0.4 1x1 (Enoxaparin 0.4 ml, Sanofi- Aventis) was given subcutaneously during the course of pregnancy. She underwent cesarean section because of preterm premature rupture of membranes at 33th week of gestation and delivered 2100 gr and 2240 gr male fetuses with normal Apgar scores.
Management of these patients must be individualised. Systematically diagnostic evaluation of pregnancy complicated with PAN help us to determine prognosis and management.

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Published

2007-12-16

How to Cite

1.
Duru NK, Dede M, Alanbay İbrahim, Terek C, Gezginç K, Aksoy H, Ulubay M, Başer İskender. An IVF-Twin Pregnancy Complicated with Cutaneous Polyarteritis Nodosa: A Case Report. Gynecol Obstet Reprod Med [Internet]. 2007Dec.16 [cited 2022Jan.18];13(3):184-5. Available from: https://gorm.com.tr/index.php/GORM/article/view/548

Issue

Section

Case Reports

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