Skip to main content
Top
Published in: Clinical Rheumatology 9/2007

01-09-2007 | Case Report

Mixed connective tissue disease: a case with scleroderma renal crisis following abortion

Authors: Mehmet Celikbilek, Rengin Elsurer, Baris Afsar, Handan B. Ozdemir, Siren Sezer, Nurhan F. Ozdemir

Published in: Clinical Rheumatology | Issue 9/2007

Login to get access

Abstract

The term mixed connective tissue disease (MCTD) has been applied to a particular subset of patients with overlapping clinical features of systemic sclerosis, systemic lupus erythematosus, and polymyositis. Immune response to U1-ribonucleoprotein is the defining serological feature of MCTD. There are different organ and system involvements in MCTD including the heart, lung, kidney, muscle, joints, gastrointestinal, and hematologic involvements. Reports describing pregnancies in patients with MCTD are rare, and the results have been contradictory: a high risk of fetal loss and of disease exacerbation or no influence on fetus or mother. In MCTD, simultaneous pulmonary and renal involvement is very rare. In this paper, we report a case of MCTD with pulmonary involvement that developed scleroderma renal crisis after an abortion.
Literature
2.
go back to reference Takeda Y, Wang GS, Wang RJ et al (1989) Enzyme-linked immunosorbent assay using isolated (U) small nuclear ribonucleoprotein polypeptides as antigens to investigate the clinical significance of autoantibodies to these polypeptides. Clin Immunol Immunopathol 50:213–230PubMedCrossRef Takeda Y, Wang GS, Wang RJ et al (1989) Enzyme-linked immunosorbent assay using isolated (U) small nuclear ribonucleoprotein polypeptides as antigens to investigate the clinical significance of autoantibodies to these polypeptides. Clin Immunol Immunopathol 50:213–230PubMedCrossRef
3.
go back to reference Bennett RM, O’Connell DJ (1980) Mixed connective tissue disease: a clinicopathologic study of 20 cases. Semin Arthritis Rheum 10:25–51PubMedCrossRef Bennett RM, O’Connell DJ (1980) Mixed connective tissue disease: a clinicopathologic study of 20 cases. Semin Arthritis Rheum 10:25–51PubMedCrossRef
4.
go back to reference Kaufman RL, Kitridou RC (1982) Pregnancy in mixed connective tissue disease: comparison with systemic lupus erythematosus. J Rheumatol 9:549–555PubMed Kaufman RL, Kitridou RC (1982) Pregnancy in mixed connective tissue disease: comparison with systemic lupus erythematosus. J Rheumatol 9:549–555PubMed
5.
go back to reference Lundberg I, Hedfors E (1991) Pregnancy outcome in patients with high titer anti-RNP antibodies. A retrospective study of 40 pregnancies. J Rheumatol 18:359–362PubMed Lundberg I, Hedfors E (1991) Pregnancy outcome in patients with high titer anti-RNP antibodies. A retrospective study of 40 pregnancies. J Rheumatol 18:359–362PubMed
6.
go back to reference Snyder JM, De Masi AD, Belsky DH (1985) Mixed connective tissue disease in pregnancy: report of a case. J Am Osteopath Assoc 85:33–36PubMed Snyder JM, De Masi AD, Belsky DH (1985) Mixed connective tissue disease in pregnancy: report of a case. J Am Osteopath Assoc 85:33–36PubMed
7.
go back to reference Burdt MA, Hoffman RW, Deutscher SL, Wang GS, Johnson JC, Sharp GC (1999) Long-term outcome in mixed connective tissue disease: longitudinal clinical and serologic findings. Arthritis Rheum 42:899–909PubMedCrossRef Burdt MA, Hoffman RW, Deutscher SL, Wang GS, Johnson JC, Sharp GC (1999) Long-term outcome in mixed connective tissue disease: longitudinal clinical and serologic findings. Arthritis Rheum 42:899–909PubMedCrossRef
8.
go back to reference Satoh K, Imai H, Yasuda T, Wakui H, Miura AB, Nakamoto Y (1994) Sclerodermatous renal crisis in a patient with mixed connective tissue disease. Am J Kidney Dis 24:215–218PubMed Satoh K, Imai H, Yasuda T, Wakui H, Miura AB, Nakamoto Y (1994) Sclerodermatous renal crisis in a patient with mixed connective tissue disease. Am J Kidney Dis 24:215–218PubMed
9.
go back to reference McHugh NJ, Reilly PA, McHugh LA (1989) Pregnancy outcome and autoantibodies in connective tissue disease. J Rheumatol 16:42–46PubMed McHugh NJ, Reilly PA, McHugh LA (1989) Pregnancy outcome and autoantibodies in connective tissue disease. J Rheumatol 16:42–46PubMed
10.
go back to reference Grennan DM, McCormick JN, Wojtacha D, Carty M, Behan W (1978) Immunological studies of the placenta in systemic lupus erythematosus. Ann Rheum Dis 37:129–134PubMedCrossRef Grennan DM, McCormick JN, Wojtacha D, Carty M, Behan W (1978) Immunological studies of the placenta in systemic lupus erythematosus. Ann Rheum Dis 37:129–134PubMedCrossRef
11.
go back to reference Horita Y, Tsunoda S, Inenaga T et al (2001) Pregnancy outcome in nephrotic syndrome with mixed connective tissue disease. Nephron 89:354–356PubMedCrossRef Horita Y, Tsunoda S, Inenaga T et al (2001) Pregnancy outcome in nephrotic syndrome with mixed connective tissue disease. Nephron 89:354–356PubMedCrossRef
12.
go back to reference Ackerman J, Gonzalez EF, Gilbert-Barness E (1999) Immunological studies of the placenta in maternal connective tissue disease. Pediatr Dev Pathol 2:19–24PubMedCrossRef Ackerman J, Gonzalez EF, Gilbert-Barness E (1999) Immunological studies of the placenta in maternal connective tissue disease. Pediatr Dev Pathol 2:19–24PubMedCrossRef
13.
go back to reference Vancheeswaran R, Magoulas T, Efrat G et al (1994) Circulating endothelin-1 levels in systemic sclerosis subsets—a marker of fibrosis or vascular dysfunction? J Rheumatol 21:1838–1844PubMed Vancheeswaran R, Magoulas T, Efrat G et al (1994) Circulating endothelin-1 levels in systemic sclerosis subsets—a marker of fibrosis or vascular dysfunction? J Rheumatol 21:1838–1844PubMed
Metadata
Title
Mixed connective tissue disease: a case with scleroderma renal crisis following abortion
Authors
Mehmet Celikbilek
Rengin Elsurer
Baris Afsar
Handan B. Ozdemir
Siren Sezer
Nurhan F. Ozdemir
Publication date
01-09-2007
Publisher
Springer-Verlag
Published in
Clinical Rheumatology / Issue 9/2007
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-006-0442-8

Other articles of this Issue 9/2007

Clinical Rheumatology 9/2007 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine