• Internal medicine · May 2024

    Case Reports

    Successful Pregnancy Outcome in a Patient with Juvenile Idiopathic Arthritis in Adulthood, Amyloid A Amyloidosis, and Chronic Kidney Disease Using Tocilizumab with Strict Blood Pressure Control.

    • Taro Akira, Yukiko Shimazu, Nobuhiro Hashimoto, Hiroki Okushima, Takehiro Suzuki, Tomomi Tada, Makiko Ikoma, Takashi Hosokawa, Yoshiyasu Ueda, Masahiko Takemura, and Hiroshi Fujiwara.
    • Division of Rheumatology and Allergy, Osaka General Medical Center, Japan.
    • Intern. Med. 2024 May 1; 63 (9): 131113161311-1316.

    AbstractPregnancies with chronic kidney disease (CKD) and high disease activity in rheumatic diseases are high-risk events with adverse outcomes for both the mother and fetus. We herein report a 35-year-old woman with juvenile idiopathic arthritis (JIA), amyloid A (AA) amyloidosis related to JIA, and CKD stage G4A2 who wished to have children. She achieved a successful pregnancy, even in the presence of these multiple risk factors, using tocilizumab to control the disease activity of JIA and AA amyloidosis, along with antihypertensive drugs to control her blood pressure before and during pregnancy.

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