Management and Outcomes of Wilson Disease in Pregnancy: A Case Report

Zahra Moaazeni; Danial Soltani; Mahnaz Boroumand Rezazadeh; Mohammad Reza  Rouhbakhsh Zahmatkesh; Neda Davaryari

doi:10.18502/crcp.v7i6.12274

Zahra Moaazeni Department of Obstetrics and Gynecology, Mashhad University of Medical Sciences, Mashhad, Iran
Danial Soltani Mashhad University of Medical Sciences, Mashhad, Iran
Mahnaz Boroumand Rezazadeh Neonatal Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohammad Reza Rouhbakhsh Zahmatkesh Mashhad University of Medical Sciences, Mashhad, Iran.
Neda Davaryari Department of Obstetrics and Gynecology, Mashhad University of Medical Sciences, Mashhad, Iran.

DOI: https://doi.org/10.18502/crcp.v7i6.12274

Keywords: Complications; Management; Pregnancy; Wilson Disease

Abstract

Pregnancy in a woman with Wilson disease (WD) can cause pre-eclampsia, miscarriage, and preterm labor and causes hepatic, neurologic, and hematologic complications aside from pregnancy-related difficulties. A 30-year-old female was brought to the emergency room (ER) in her 38th gestational week (GW) with the chief complaint of left foot swelling and weight gain. Aside from a platelet count of about 73000, the rest of the assessment and findings were normal. Regarding the reassurance of the platelet count and holding the medical treatment, throughout the vaginal delivery, a child with Apgar of 9-10 was delivered. WD in pregnancy tends to have complications, thus patient management and how the patient is treated are critical.