| Category A Local Expertise | Category B Consider discussion with Maternal Medicine Centre (MMC) | Category C Care led by Maternal Medicine Centre |
|---|---|---|
| Uncomplicated* rheumatoid arthritis | Rheumatological disease requiring biologic therapy | Lupus nephritis (or other rheumatological condition with renal involvement): active / in remission / on treatment |
| Uncomplicated* seronegative arthritis: • Ankylosing spondylitis • Psoriatic arthritis • Reactive arthritis • IBD-related arthritis • Juvenile idiopathic arthritis | Rheumatological disease not controlled on current treatment | Large or medium vessel vasculitis |
| Uncomplicated* connective tissue disease: • Lupus • Scleroderma (restricted disease) • Sjogren's | Rheumatological disease with restrictive lung disease and FVC >50% | Rheumatological disease with restrictive lung disease and FVC <50% |
| Osteoarthritis | Small vessel vasculitis in remission, no longer on treatment | New small vessel vasculitis or small vessel vasculitis on immunosuppression |
| Antiphospholipid syndrome with early pregnancy loss with no thrombotic history | Antiphospholipid syndrome with history of second or third trimester loss, with no thrombosis history | Antiphospholipid syndrome with any maternal arterial or venous thrombosis OR any evidence of active disease OR therapeutically anticoagulated when not pregnant |
| Hypermobile Ehlers-Danlos (type IIl) and benign hypermobility | Other Ehlers-Danlos syndromes | Suspected or confirmed vascular Ehlers- Danlos (type IV) |
| Diffuse scleroderma | Scleroderma renal crisis | |
| Osteomalacia | Osteoporosis | infisynaease syndrome, polymooding, dermatomyositis |
| Metabolic bone disease e.g. Paget's | Suspected or confirmed haemophagocytic lymphohistiocytosis (HLH) | |
| Behcet'ssyndrome*** | Periodic fever syndromes | |
| Adult-onset Still's disease | ||
| Marfan syndrome or Turner syndrome without aortic dilatation | Aortic dilatation of any aetiology | |
| Loeys-Dietz syndrome | ||
| Gout | Complex pain syndromes |
