International journal of obstetric anesthesia
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We present our experience in the anesthetic management of two parturients with pseudoxanthoma elasticum. The first had an epidural catheter inserted for labor analgesia and ultimately had a forceps delivery. ⋯ There were no untoward effects of regional anesthesia in either of these two women. The anesthetic implications for parturients with pseudoxanthoma elasticum are discussed.
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We present the first report of epidural analgesia in a parturient with pseudoxanthoma elasticum. This rare inherited disorder of elastic tissue is characterised by skin changes but also has multi-system manifestations. The consequences of pseudoxanthoma elasticum for the obstetric anaesthetist are reviewed. This case highlights the importance of antenatal anaesthetic referral for patients with multi-system disease.