A 36-year-old pregnant woman with hyperimmunoglobulinemia E

Milosz K Matyja; Mateusz Klimek; Magdalena Lemm; Krzysztof Nowosielski

doi:10.5603/GP.a2021.0251

A 36-year-old pregnant woman with hyperimmunoglobulinemia E

Matyja MK, Klimek M, Lemm M, Nowosielski K

Ginekologia polska, 93(5), 438-439, 2022

DOI 10.5603/GP.a2021.0251 PMID 35315026

RRM Academy Synopsis

Hyper-IgE syndrome pregnancy ended in a safe premature delivery

A pregnant woman had hyper-IgE syndrome, a rare illness. At 34 weeks, she developed severe pneumonia. She had an emergency cesarean and delivered her baby safely.

Key Findings

Before this pregnancy, she already had chronic lung disease, recurrent dermatitis, repeated airway infections, and reflux.
At 34 weeks and 4 days, she was admitted with worsening breathing, a bad cough, and low blood oxygen. A chest x-ray showed pneumonia.
Doctors gave steroids and magnesium to protect the baby, then delivered by emergency cesarean the next day as her condition worsened.
The baby was born prematurely in good condition and needed only routine newborn care.
After delivery, her breathing worsened again and a scan showed lung inflammation. Her surgical wound then got infected, but she recovered fully and went home.

Interpretation

This case report describes a severe breathing crisis from hyper-IgE syndrome late in pregnancy. The mother recovered fully. She went home after close monitoring, an early cesarean, and treatment for a wound infection. The authors note the newborn had a rash on day five. The baby was not diagnosed with the mother's disorder. The findings support larger studies of pregnancy care in women with this rare immune disorder.

RRM Context

This case is not about fertility. Restorative reproductive medicine focuses on finding and treating the root causes of infertility and cycle problems. Pregnancy with a long-term lung or immune illness still needs care from a team of doctors throughout pregnancy.

Our editorial summary of this paper, not the article's abstract.

Abstract not indexed.

Milosz K Matyja, Mateusz Klimek, Magdalena Lemm, Krzysztof Nowosielski

M Matyja, M Klimek, M Lemm, K Nowosielski

PMID 35315026 35315026 DOI 10.5603/GP.a2021.0251 10.5603/GP.a2021.0251 Matyja et al. 2022, Matyja 2022

Keywords

Job’s syndrome, hyper-IgE syndrome, immunocompetent, pneumonia, pregnancy

A 36-year-old pregnant woman with hyperimmunoglobulinemia E

Hyper-IgE syndrome pregnancy ended in a safe premature delivery

Key Findings

Interpretation

RRM Context

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Keywords