<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412018000700478</article-id>
<article-id pub-id-type="doi">10.24245/gom.v86i7.1993</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento de la nefropatía lúpica en la embarazada]]></article-title>
<article-title xml:lang="en"><![CDATA[Lupus nephritis management in pregnancy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barroso-Domínguez]]></surname>
<given-names><![CDATA[Saínza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Servicio Gallego de Salud Complejo Hospitalario Universitario de Pontevedra ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>86</volume>
<numero>7</numero>
<fpage>478</fpage>
<lpage>484</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412018000700478&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412018000700478&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412018000700478&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: El lupus eritematoso sistémico es una enfermedad crónica, autoinmunitaria y multisistémica de etiología desconocida que puede afectar el funcionamiento de múltiples órganos y tejidos, como la piel o los riñones. La afectación renal perjudica a más de 50% de las embarazadas, su coexistencia incrementa la morbilidad y mortalidad materno-fetal y condiciona la evolución del embarazo.  Objetivo: Describir el tratamiento adecuado de la nefropatía lúpica en la embarazada para saber diagnosticar y prevenir las complicaciones.  Caso clínico: Paciente de 36 años, en el segundo embarazo, con lupus eritematoso sistémico y nefropatía lúpica tipo IV. El embarazo previo trascurrió con deterioro de la función renal y motivó la finalización en la semana 37. Tres meses antes de la concepción se le tomó una biopsia renal que demostró ausencia de actividad lúpica. Las cifras de creatinina sérica basal fueron: 1.4-1.5 mg/dL. Durante el primer trimestre se diagnosticó hipertensión arterial y, debido al deterioro progresivo de la función renal, con cifras de creatinina sérica de 2.09 mg/dL se finalizó el embarazo en la semana 34+3 después de la maduración pulmonar fetal.  Conclusiones: El éxito gestacional de las pacientes con nefritis lúpica depende de una buena planificación previa a la concepción y de tratamiento multidisciplinario estrecho. Es importante curar o controlar la enfermedad en los 4-6 meses anteriores, el grado de insuficiencia renal, la hipertensión arterial y la preeclampsia o crecimiento intrauterino restringido.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Systemic lupus erythematosus is a chronic, autoimmune, and multisystemic disease of unknown etiology involving the function of multiple organs and tissues, such as the skin or the kidneys. Renal involvement during pregnancy affects more than 50% of patients, and its presence increases the feto-maternal morbidity and mortality and determines the evolution of pregnancy.  Objective: Describe the right management of lupus nephritis during pregnancy in order to diagnose and prevent the potential complications of these patients.  Clinical case: 36-year-old woman in her second pregnancy with diagnosis of systemic lupus erythematosus with lupus nephritis type IV. She presents a prior pregnancy with progressive deterioration on renal function, that caused the delivery at 37 weeks. The renal biopsy performed three months before conception showed lack of activity and her baseline serum creatinine levels were about 1-4-1.5 mg/dL. During the first trimester she was diagnosed with high blood pressure and due to the progressive deterioration on renal function, with serum creatinine levels up to 2.09 mg/dL the finalization of pregnancy was indicated at 34+3 weeks after fetal lung maturation.  Conclusions: Gestational success of patients with lupus nephritis depends on a good preconceptional planning and a multidisciplinary approach. It is also important the remission of the disease 4-6 months before conception, the degree of renal failure, the presence of high blood pressure and the development of preeclampsia and/ or fetal growth restriction.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Nefritis lúpica]]></kwd>
<kwd lng="es"><![CDATA[lupus eritematoso sistémico]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="en"><![CDATA[Lupus nephritis]]></kwd>
<kwd lng="en"><![CDATA[Systemic lupus erythematosus]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
</kwd-group>
</article-meta>
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