Rowell Syndrome in Pregnancy: A Unique Case Report
Sapna Choudhary, Ravi Kasniya, Ramkanwari Choudhary
Keywords :
Case report, Erythema multiforme, Pregnancy, Rowell syndrome
Citation Information :
Choudhary S, Kasniya R, Choudhary R. Rowell Syndrome in Pregnancy: A Unique Case Report. J South Asian Feder Obs Gynae 2024; 16 (6):705-707.
Rowell syndrome is one of the peculiar diseases of the skin. It is characterized by its resemblance with systemic lupus erythematosus (SLE) and erythema-multiforme (EM)-like lesions. Criteria of its diagnosis as given by Rowell reflected similitude with that of SLE. Recently, two more diagnostic criteria were reanalyzed by Zeitouni and Torchia.
Complications during pregnancy cause poor maternal and fetal outcomes. Mother suffers from exacerbation of the lupus, renal impairment, development of hypertension, or venous thromboembolism. Antepartum complications include prematurity, intrauterine growth restriction, fetal miscarriage, neonatal lupus syndrome. Neonatal lupus may also present in its severe form as congenital heart block in up to 2% of newborns in women who are Anti-RO positive.
Pandhi D, Singal A, Agarwal P. Rowell's syndrome and associated antiphospholipid syndrome. Clin Exp Dermatol 2004;29(1):22–24. DOI: 10.1111/j.1365-2230.2004.01433.x.
Mandelcorn R, Shear NH. Lupus-associated toxic epidermal necrolysis: A novel manifestation of lupus? J Am Acad Dermatol 2003;48(4):525–529. DOI: 10.1067/mjd.2003.107.
Aydogan K, Karadogan S, Adim SB, et al. Lupus erythematosus associated with erythema multiforme: Report of two cases and review of the literature. J Eur Acad Dermatol Venereol 2005;19(5):621–627. DOI: 10.1111/j.1468-3083.2005.01233.x.
Basava L, Triveni K, Sree GS. Successful pregnancy outcome in a case of systemic lupus erythematosus. J South Asian Feder Obs Gynae 2107;9(2):134–136. DOI: 10.5005/jp-journals-10006-1476.
Ghosh A, Tiwari S, Biswas SC, et al. A prospective study to evaluate pregnancy outcomes in patients with systemic lupus erythematosus. J South Asian Feder Obs Gynae 2018;10(1):45–48. DOI: 10.5005/jp-journals-10006-1556.
