The British Journal of Rheumatology, Vol 37, 740-745, Copyright © 1998 by British Society for Rheumatology
CP Mavragani, UG Dafni, AG Tzioufas and HM Moutsopoulos
OBJECTIVE: In the present retrospective cohort study, the association of
anti-Ro/SSA antibody with pregnancy loss and adverse pregnancy outcome in
women with autoimmune diseases was investigated. MATERIALS AND METHODS:
Obstetric histories of 154 anti-Ro/SSA-positive women with autoimmune
diseases [78 systemic lupus erythematosus (SLE) and 76 non- SLE] were
analysed and compared to a control group of 142 anti-Ro/SSA- negative women
(71 SLE and 71 non-SLE) matched for disease diagnosis and age at the time
of anti-Ro/SSA diagnosis. Obstetric history was also obtained and analysed
from a group of healthy women, frequency matched to anti-Ro/SSA-positive
women on age at study entry. RESULTS: The rate of pregnancy loss and
adverse pregnancy outcome did not differ significantly between
anti-Ro/SSA-positive women, anti-Ro/SSA-negative women and healthy
controls. Anti-Ro/SSA-positive SLE women reported a significantly higher
rate (18.0%) of therapeutic abortions compared to anti-Ro/SSA-negative
women (5.6%, P=0.0244) and healthy controls (4.6%, P=0.0013). Anti-Ro/SSA
non-SLE-positive women reported a significantly higher rate (23.7%) of
recurrent pregnancy loss in comparison to anti- Ro/SSA-negative women
(7.04%, P=0.0063) and healthy controls (6.4%, P=0.0004). CONCLUSIONS:
Although anti-Ro/SSA antibody does not adversely affect pregnancy outcome
in SLE patients, it appears to be associated with recurrent pregnancy loss
in non-SLE patients.
ORIGINAL PAPERS
Pregnancy outcome and anti-Ro/SSA in autoimmune diseases: a retrospective cohort study
Department of Pathophysiology, School of Medicine, National University of Athens, Greece.
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