Risks and outcomes of pregnancy in neuromyelitis optica spectrum disorder: A comprehensive review Article Swipe
YOU?
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· 2023
· Open Access
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· DOI: https://doi.org/10.1016/j.autrev.2023.103499
Neuromyelitis optica spectrum disorder (NMOSD) is a rare central nervous system autoimmune disease. Aquaporin-4 antibody (AQP4-IgG) is present in over 75% of cases and criteria also exist for the diagnosis of seronegative NMOSD. AQP4-IgG NMOSD has a strong female predominance (9:1 ratio), with a median onset age of 40 years. Pregnancy in those with NMOSD is therefore an important topic. Fecundity in NMOSD is likely impaired, and for females who conceive, obstetric complications including miscarriages and pre-eclampsia are significantly higher in NMOSD compared to the general population and in related conditions such as multiple sclerosis (MS). In contrast to MS, NMOSD disease activity does not subside during pregnancy. Also, relapse risk substantially rises above pre-pregnancy rates in the early postpartum period. In view of the evolving landscape of NMOSD, we provide a contemporary update of the impacts of pregnancy in NMOSD.
Related Topics
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.autrev.2023.103499
- OA Status
- hybrid
- Cited By
- 14
- References
- 127
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4389328587
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4389328587Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1016/j.autrev.2023.103499Digital Object Identifier
- Title
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Risks and outcomes of pregnancy in neuromyelitis optica spectrum disorder: A comprehensive reviewWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-12-05Full publication date if available
- Authors
-
Pakeeran Siriratnam, Saif Huda, Helmut Butzkueven, Anneke van der Walt, Vilija Jokubaitis, Mastura MonifList of authors in order
- Landing page
-
https://doi.org/10.1016/j.autrev.2023.103499Publisher landing page
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
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https://doi.org/10.1016/j.autrev.2023.103499Direct OA link when available
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Neuromyelitis optica, Spectrum disorder, Medicine, Pregnancy, Multiple sclerosis, Disease, Pediatrics, Postpartum period, Population, Obstetrics, Immunology, Internal medicine, Psychiatry, Biology, Genetics, Environmental healthTop concepts (fields/topics) attached by OpenAlex
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14Total citation count in OpenAlex
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2025: 10, 2024: 4Per-year citation counts (last 5 years)
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127Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.autoimmune | 11 |
| abstract_inverted_index.conditions | 90 |
| abstract_inverted_index.population | 86 |
| abstract_inverted_index.postpartum | 119 |
| abstract_inverted_index.pregnancy. | 107 |
| abstract_inverted_index.Aquaporin-4 | 13 |
| abstract_inverted_index.contemporary | 132 |
| abstract_inverted_index.miscarriages | 74 |
| abstract_inverted_index.predominance | 39 |
| abstract_inverted_index.seronegative | 31 |
| abstract_inverted_index.Neuromyelitis | 0 |
| abstract_inverted_index.complications | 72 |
| abstract_inverted_index.pre-eclampsia | 76 |
| abstract_inverted_index.pre-pregnancy | 114 |
| abstract_inverted_index.significantly | 78 |
| abstract_inverted_index.substantially | 111 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 97 |
| corresponding_author_ids | https://openalex.org/A5036431497 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 6 |
| corresponding_institution_ids | https://openalex.org/I1320473756, https://openalex.org/I4210163178, https://openalex.org/I56590836 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8700000047683716 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.90858424 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |