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Rheumatic Diseases in Women & Children Current Perspectives
Shefali K Sharma MD (Medicine) MAMS
Sujata Sawhney MD (Pediatrics) MRCP (UK) CCST (UK)

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Publish Year2014
Size6.25" X 9.5"
cover TypePaper Back
Quick Overview
There are many standard textbooks of Rheumatology, but none with an emphasis on the rheumatic diseases in the context of women and child bearing, and the diseases that affect children. This book aims to fill this important gap.

Children with rheumatic diseases are a neglected lot in our country. Early diagnosis and appropriate therapy are standards of care that are not available to the vast majority of these patients. This book highlights common issues that confront the pediatrician. The pediatric section of the book deals with clinically relevant topics and addresses juvenile idiopathic arthritis, PUO and pediatric rheumatology, the approach to a child with a connective tissue disease and systemic vasculitis, neonatal lupus and finally discusses the transition of care of the pediatric rheumatology patient to the adult team.
Key Features
Rheumatic diseases are more common in women and children than in men. These diseases often strike early in life and, thus, may have considerable effects on pregnancy and pregnancy outcomes. The adverse effects are both because of the disease and the drugs that are required to treat these conditions.

Several drugs used for the treatment of systemic autoimmune diseases are teratogenic and some may cause sterility. There are no standard guidelines for important questions that face both the physician and the patient, e.g. When should the pregnancy be planned?; When should the DMARDs be stopped?; and How should a high-risk pregnancy be managed? The answers to these questions can be challenging. Patient-counseling about these issues should be a routine, early in the course of the disease; else the trauma of a medical termination of pregnancy is all that the patient is left with. In a busy outpatient clinic, these issues are often overlooked with far-reaching consequences.

The child with a rheumatic disease often goes unrecognized in our country. Delayed diagnosis and disease-related damage are common place. These children need early specialist care with a multidisciplinary team, so that he or she may grow up into a healthy adult with no deformities, be functionally adequate and have the ability to lead a full and normal life. 'Zero disease tolerance' and the aim for 'remission' are the goals for every child with a rheumatic disease

This book aims to bridge this vital gap. We hope that it is well received not only at the undergraduate and postgraduate levels, but also be of benefit for the practising rheumatologists, besides being helpful to some patients.
Target Audience
Useful for Undergraduate and Postgraduate Levels, also be of benefit for the Practising Rheumatologists, besides being helpful to some patients.

Tiphanie Vogel, MD, PhD (Washington University Medical Center)


This slim book addresses two populations whose care is often overlooked in rheumatology -- pregnant patients and children. The issue of pregnancy in rheumatology is addressed in a disease-specific format.


The authors were inspired to write this book by the added cultural, on top of the inherent, difficulties of caring for female and pediatric patients in India. They hope this book can be used as a reference for targeting additional resources for the care of these vulnerable populations.


The authors are hopeful that this will be of use to a range of readers, from a wide variety of practitioners to patients. There is certainly a place for a synthesized source of information on pregnancy and rheumatological disease for use by rheumatologists and obstetricians. This work appears rooted in a broad literature review.


The first of the book's two parts addresses disease-specific aspects of pregnancy in chapters dedicated to each disorder. The second half covers topics in pediatric rheumatology. This is an immense area to which large volumes are dedicated, so this small book necessitates brevity. The chapters on pregnancy and medications and lactation and medications are valuable.

Discussion of the issues surrounding the transition of pediatric patients to adult practices is also useful. The book suffers from some issues with syntax, which can be distracting. Also, Abatacept is not a monoclonal antibody.


This work is unique in addressing the unique issues pregnant women with rheumatological disease face, and includes convenient tables of commonly used rheumatological medications and their ability to be used during pregnancy and lactation. It would be a useful reference for that purpose.

The brevity of the section on pediatric rheumatology makes other pocket books (such as Paediatric Rheumatology Foster and Brogan (Oxford University Press, 2012) more comprehensive choices. However, given the target audience of medical practitioners in India, this selection is a reasonably priced resource.

Ratings:   Book Image   (3 Stars)
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