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Infants Born to Mothers With Anti-SSA/Ro Autoantibodies: Neonatal Outcome and Follow-up
Antonio Alberto Zuppa, MD*,
Annalisa Fracchiolla, MD,
Francesco Cota, MD,
Francesca Gallini, MD,
Immacolata Savarese, MD,
Vito D'Andrea, MD,
Rita Luciano, MD,
and
Costantino Romagnoli, MD
Catholic University of the Sacred Heart
* To whom correspondence should be addressed. E-mail: zuppaaa{at}rm.unicatt.it.
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Abstract |
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Neonatal lupus syndrome is considered a model of passively acquired autoimmune disease. The first 10 newborns born to mothers with connective tissue disease and positive for anti-SSA/Ro antibodies enrolled in a follow-up program to evaluate the incidence of cardiac, hepatobiliary, hematologic, echoencephalographic, and cutaneous manifestations until 9 months of age are described in this study. No congenital heart block was observed, but only transient rhythm alterations were observed. In all, 1 infant showed typical neonatal lupus syndrome skin lesions at 3 months of age. During the neonatal period, echoencephalographic alterations were found more frequently, whereas at follow-up, hepatic and hematologic alterations were more often observed. In all, 1 baby showed persistent neutropenia. A standard program that enrolls all infants born to mothers with anti-SSA/Ro autoantibodies, who are at risk of developing neonatal lupus syndrome, should also include tests performed some time after birth, as a number of clinical manifestations might appear at a late stage.
First published on December 5, 2007, doi:10.1177/0009922807307264
Clinical Pediatrics 2008;47:231.
A more recent version of this article appeared on April 1, 2008
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