Treatment for Cardiac Neonatal lupus Erythematosus
| Manifestation of Cardiac Neonatal Lupus Erythematosus | Features | Treatment |
|---|---|---|
| First degree | Prolonged PR intervalCould be transient | MonitorCould consider steroids |
| Second degree | Likely to progress to third degree atrioventricular block but can revert to sinus rhythm without treatment | Consider steroids -Dexamethasone IVIG Plasmapheresis |
| Third degree | Irreversible Associated with fetal demise inup to 9-25% of cases | Possible pacemaker Steroids do not work |
| Cardiomyopathy/endocardial fibroelastosis/hydrops | Global disease can accompany heart block | Steroids and/or IVIG or apheresis may be considered for inflammatory cardiac disease ± heart block |
IVIG, Intravenous immunoglobulin.
