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Pulmonary hypertension complicating systemic sclerosis: A successful pregnancy outcome

Systemic sclerosis is rare during pregnancy. However, delay in child bearing among the women has resulted in an increase in the number of cases (Chakravarty 2010). The ordeal in pregnancy varies with stable disease in 50% of patients, deterioration in 30% and improvement in 20% (Ismail et al. 2013). Clinically, the systemic form is progressive fibrosis (in association with anti-Scl-70 antibodies) involving Raynaud’s phenomenon and multiple organs i.e. oesophagus (80%), lungs (45%), heart (40%) and kidney (35%). This case report describes an uneventful pregnancy outcome of systemic sclerosis in pregnancy complicated by pulmonary hypertension (PH) and vocal cord involvement.