SYSTEMIC SCLERODERMA AND PREGNANCY - ABOU T ONE CASE

The systemic scleroderma is an auto-immun affection characterised by d iffuse lesions of the connective tissues with inflammatory predominanc e, As less frequent as this association with pregnancy, if usuary occu rs to the woman at the end of genital life activity, The obstetrical p ast history of a G(5)P(2) of 40 years old affected with systemic scler oderma, is marked by four tardive abortions and two premature deliveri es, The evolution of the disease was progressively unfavourable with v isceral, digestive and pulmonary blows them sclerodermatomyositis. A r eview of literature reveals the interactions between this affection an d pregnancy, The aggravation of the disease during pregnancy is possib le : nephopatic scleroderma is then the must frequent complication, Th e gynaecological and obstetrical consequences are sterility, habitual abortions, intra-uterine growth retardation, infra uterine foetal deat h, premature delivery and explosion difficulties, The infant pronostic is specially related to the risk prematurity The corticotherapy is th e only acceptable treatment during pregnancy.