TY - JOUR T1 - PM.94 The Management of a Twin Pregnancy in a Patient with MAGIC Syndrome JF - Archives of Disease in Childhood - Fetal and Neonatal Edition JO - Arch Dis Child Fetal Neonatal Ed SP - A51 LP - A51 DO - 10.1136/archdischild-2013-303966.175 VL - 98 IS - Suppl 1 AU - A Fabre-Gray AU - D Mahendran Y1 - 2013/04/01 UR - http://fn.bmj.com/content/98/Suppl_1/A51.3.abstract N2 - In 1985 Firestein et al, first described patients with co-existent relapsing polychondritis and Behçet’s Disease. They proposed the acronym MAGIC syndrome (Mouth And Genital ulcers with Inflamed Cartilage). This is a rare condition with no more than twenty cases described in the literature to date. This case is the first to report the management of a pregnancy in a patient with MAGIC syndrome. The autoimmune pathogenesis can potentially damage cartilage anywhere in the body, including cardiac valves and tracheal cartilage. Therefore a multidisciplinary approach to the management of this pregnancy was paramount. We describe her antenatal, intrapartum and post-partum management specific to this condition and demonstrate how this led to a safe delivery of her twins. ER -