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K
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from Singapore asked a question

How can someone who has autoimmune disease safely try for a baby?

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Dr Heng Wee Soon
Dr Heng Wee Soon
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15 answers on DxD


Dr Fong Yoke Fai
Dr Fong Yoke Fai
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16 answers on DxD
Gynaecology Skin, Hair & Nails

Hi, I have been diagnosed with Pemphigus Vulgaris in Jan 2018. I understand the long term side effects of oral steroids and danger of immunosuppressants if I want to plan for another baby. I would like to know what are the typical approaches doctor will recommend for a patient who has autoimmune disease, and is currently taking the above medications if she wants to have another baby.

DOCTOR’S ANSWER (1)

Dear K,

Pemphigus vulgaris is an autoimmune skin condition where the skin produces antibody against components of the skin (desmogleins) resulting in easy blistering of the skin. This condition usually requires a long period of oral immunosuppressive medications.

If you are considering pregancy, it is best to be at a time when the disease is stable and under control as you do not want to escalate treatment while you are pregnant. You have to inform your dermatologist of your intention to conceive.

Your doctor can then advise you on what immunosuppressive medications you can be on and what medications you have to be off and adjust your medications accordingly.

0 122 views 0 Doctors agree Thu Jun 21 2018 13:05:40 GMT+0000 (UTC)
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