Successful Anesthetic Management in Pregnant Lady with Eosinophilic Granulomatosis with Polyangiitis

Fadi Qutishat^{1, 2,} , Vinod Sudhir^{1, 3} and Ehab Abu Marar⁴

¹Department of Anesthesia, Critical Care and Pain Medicine, Galway University Hospital, Galway, Ireland

²Anesthetic Registrar, Galway University Hospital, Galway, Ireland

³Anesthetic Consultant, Galway University Hospital, Galway, Ireland

⁴Obstetric and Gynecology, IVF consultant, Galway Fertility Clinic, Galway, Ireland

Cite this paper

Fadi Qutishat, Vinod Sudhir and Ehab Abu Marar. Successful Anesthetic Management in Pregnant Lady with Eosinophilic Granulomatosis with Polyangiitis. American Journal of Medical Case Reports. 2022; 10(11):283-285. doi: 10.12691/AJMCR-10-11-1

Abstract

Vasculitis syndromes rarely co-exist with pregnancy; for example, Eosinophilic Granulomatosis with Polyangiitis (EGPA) ( formerly known as Churg-Struss Syndrome) is even rarer. Vasculitis syndromes often have a poor prognosis, making diagnosis very problematic, and generally, we do not have much literature about the anesthetic management of these rare types of vasculitis. Our study reports a case scenario of a 38- year-old woman who is pregnant and has been diagnosed with EGPA. She completed a successful pregnancy and was subject to emergency category II cesarean section delivery under regional anesthesia at University College Hospital Galway-Ireland. The patient coped well during the pregnancy apart from the reoccurrence of an asthma attack and allergic rhinitis at mid-pregnancy, which responded to an upsurge in steroid dosage. Clinical effects and choice the type of anesthesia and it’s relation to vasculitis are discussed.

Keywords

Eosinophilic Granulomatosis with polyangiitis, vasculitis syndrome, anesthesia, pregnancy, diagnosis

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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