Abstract
We report a successful pregnancy in a patient with longstanding LAM on treatment with sirolimus. During temporary discontinuation fo sirolimus in early pregnancy, lung function declined but recovered after resumption of sirolimus. Pregnancy was complicated by a persistent pneumothorax which was treated surgically postnatally. The child has had a normal development despite exposure to low dose sirolimus intermittently during early embryonal and mid-fetal life.
MeSH terms
-
Adult
-
Antibiotics, Antineoplastic / administration & dosage
-
Drug Administration Schedule
-
Female
-
Humans
-
Live Birth
-
Lung / drug effects
-
Lung / physiopathology
-
Lymphangioleiomyomatosis / complications*
-
Lymphangioleiomyomatosis / drug therapy
-
Lymphangioleiomyomatosis / physiopathology
-
Pneumothorax / diagnostic imaging
-
Pneumothorax / etiology*
-
Pneumothorax / physiopathology
-
Pneumothorax / surgery
-
Pregnancy
-
Pregnancy Complications, Neoplastic*
-
Radiography
-
Sirolimus / administration & dosage
Substances
-
Antibiotics, Antineoplastic
-
Sirolimus