MODERN ASPECTS OF DIAGNOSIS AND TREATMENT OF CHOREA GRAVIDARUM
Chorea gravidarum is one of the variants of extragenital pathology, which is manifested by extrapyramidal symptoms (hyperkinesis, discoordination, dysarthria), accompanied by psychoemotional lability and has a significant impact on the further course and outcome of pregnancy. This condition can lead to miscarriage, stillbirths, premature detachment of the normally located placenta, premature birth, fetal development delay and fetoplacental insufficiency. In predisposed individuals, it occurs with a frequency of up to 75%. Since chorea gravidarum is currently considered as a syndrome against the background of other pathologies (collagenoses, infectious diseases), as well as against the background of taking medications (dopaminomimetics, D-2 receptor agonists, neuroleptics, benzodiazepines, lithium, antiepileptic drugs, estrogen-containing oral contraceptives) and narcotic stimulant drugs, differential diagnosis is required between the main diseases (such as: systemic lupus erythematosus, neurosyphilis, thyrotoxicosis) and individual nosological units (Huntington’s chorea, hepatolenticular degeneration, or a Wilson’s disease) for the appointment of adequate therapy and prevention in risk groups, what can be achieved with the greatest efficiency in the case of creating a multidisciplinary team that includes medical specialists from various fields: therapist, obstetrician-gynecologist, endocrinologist, rheumatologist, neurologist, psychotherapist, cardiologist, ultrasound doctor, dermatovenerologist, infectious disease specialist.