ask: a 22 year old that has had JDMS since 6 yrs of age ...recently been off all her meds, is now pregnamt....we are scared to death...please advise reasonable expectations.
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Anonymous
December 12, 2011 - 1:25pm
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I can appreciate your concern. The young woman's physicians-gynecologist, internist and rheumatologist-are the best ones to give you the potential risks and prognosis.
I don't know much about juvenile dermatomyositis. I looked for information on the internet and found this article http://www.medscape.com/viewarticle/567525_2
"Patients with autoimmune diseases face several pregnancy-related problems as well as disease flares during and after pregnancy. Dermatomyositis /polymyositis (DM/PM) is an uncommon medical disorder complicating pregnancy. It may start before, during, or even after pregnancy.[1,2] Optimal outcome can be anticipated when the pregnancy is undertaken with the disease in remission.[3] Pregnancy outcome is especially poor with disease onset or flare early in the gestation compared with an exacerbation in the second or third trimester, when the fetal prognosis is usually good"
Maryann
December 12, 2011 - 6:04pmThis Comment
thank you very much for the info....she has been in remission for several months....and is 9 weeks along....so not to much longer to have better prognosis for the baby...
December 15, 2011 - 12:48pmMy prayers and best wishes are with her for a good prognosis,safe pregnancy and healthy baby.
Maryann
December 15, 2011 - 5:59pmthank you very much...and have a merry Christmas
December 19, 2011 - 1:00pm