Maternal Primary Sjögren's Syndrome Complicated by Irreversible Fetal Third‐Degree Congenital Heart Block: A Case Report From Nepal
In pregnancies of anti-Ro/SSA- and anti-La/SSB-positive women with primary Sjögren's syndrome, third-degree fetal congenital heart block is usually irreversible despite corticosteroids. Preconception counseling, hydroxychloroquine prophylaxis, and serial fetal echocardiography from 16 weeks are essential to enable timely counseling, including discussion of termination in poor prognosis cases.
Authors
- Kripasana Parajuli (ORCID: https://orcid.org/0000-0003-2202-1577)
- Parash Adhikari
- S. Jaiswal
- Pratyush Jaiswal
- P Shah
Institutions
- Nepal Medical College Teaching Hospital (NP)
- Chitwan Medical College (NP)
- Himalayan University (IN)
- Kathmandu Medical College Teaching Hospital (NP)
Publication Details
- Journal
- Clinical Case Reports
- Published
- 2025-10-24
- DOI
- https://doi.org/10.1002/ccr3.71349
- Primary Topic
- Salivary Gland Disorders and Functions
- Type
- article
- Field-Weighted Citation Impact
- 0.00