Table 5.
Pregnancy | Cytopenia category | Timing of cytopenia | SLE medications during pregnancy | Other manifestations during pregnancy |
Adverse outcome |
---|---|---|---|---|---|
A* | Leukopenia | Continued from 6 months pre- conception |
HCQ (newly started) | pre-eclampsia, emergent pre- term delivery at 31 weeks |
|
B# | Thrombocytopenia | Continued from 6 months pre- conception |
HCQ (continued), prednisone 30mg (continued) |
pre-term at 33 weeks | |
C** | Leukopenia | Continued from 6 months pre- conception |
HCQ (continued), AZA (continued), prednisone 20mg before conception → 40mg |
pre-term at 36 weeks | |
D# | Thrombocytopenia | Continued from 6 months pre- conception |
HCQ (continued), prednisone 20mg due to ITP |
pre-term at 36 weeks | |
E | Thrombocytopenia, Leukopenia |
Continued from 6 months pre- conception |
HCQ (continued), prednisone 20mg (newly started) |
stillbirth at 32 weeks | |
F | Thrombocytopenia, Hemolytic anemia |
Started in 1st trimester | Prednisone 60mg (new in 1st trimester), tapered to 20mg |
pre-term at 31 weeks | |
G* | Leukopenia | Started in 1st trimester | HCQ (newly started) | pre-term at 30 weeks | |
H | Leukopenia | Started in 1st trimester | HCQ (continued), AZA (continued), prednsione 7.5mg (continued) |
pre-term at 33 weeks | |
I | Leukopenia | Started in 1st trimester | None | miscarriage at 16 weeks | |
J | Leukopenia | Started in 1st trimester | AZA (newly started), prednisone 60mg (newly started) |
New-onset Class III lupus nephritis, arthritis, skin disease |
pre-term at 34 weeks |
K** | Leukopenia | Started in 2nd trimester | HCQ (continued), AZA (continued), prednisone 15mg before conception → 60mg |
Pleuritis, skin disease | pre-term at 33 weeks |
L | Thrombocytopenia | Started in 2nd trimester | Prednisone 10mg at conception → 60mg | stillbirth at 28 weeks | |
M | Thrombocytopenia | Started in 3rd trimester | HCQ (continued), aspirin (newly started) | pre-term at 36 weeks |
Pregnancies carried by the same woman are indicated by * or # or **
Leukopenia: WBC <4000/mm3 not attributed to medication. Thrombocytopenia: platelet count <100×109/L
Cell counts presented in thousands per cubic millimeter. HCQ: hydroxychloroquine. AZA: azathioprine.