PREGNANCY IN GRANULOMATOUS VASCULITIS

Objective-To study the fetal and maternal outcome of pregnancy in pati ents with granulomatous vasculitis. Methods-Four pregnancies in two pa tients with Wegener's granulomatosis (WG) and one patient with Churg-S trauss syndrome (CSS) were identified and followed in our specialised clinic for pregnancy and connective tissue diseases. Results-Three pre gnancies ended with live babies and one with intrauterine death at 25 weeks of gestation. One WG patient remained in remission throughout pr egnancy and the other experienced severe activity at 12 weeks. The CSS patient was in remission during her first pregnancy, but the disease flared severely in the second. Conclusions-Pregnancy in patients with granulomatous vasculitis requires pre-conceptual planning, careful cli nical management, and vigorous treatment of active disease.