Review Question - QID 109833

A 32-year-old G2P1 woman at 34 weeks gestation presents to clinic complaining of sores in her mouth and on her genitals. The oral lesions appeared 4 days ago as multiple painful ulcers. She has experienced similar appearing lesions in the past starting around 5 months ago. Ulcerative lesions on her genitals are recurrent as well. The patient also complains of fatigue, blurry vision, joint aches, and tender areas on her legs. The patient is a Syrian refugee. This is her first time seeing a physician since her arrival in the United States 1 month ago. Previously, she had been living in a crowded refugee camp with limited food and water supplies. She is sexually active with her husband of 8 years. She admits that since leaving Syria, she has had feelings of guilt and sadness, which has affected her relationship with her husband. She is worried he may be cheating on her. The patient’s temperature is 37°C (98.7°F), blood pressure is 125/50 mmHg, pulse is 82/min, and respirations are 13/min. On physical exam, there are ulcerations on the oral mucosa and vulva and erythematous nodules on both shins, which are tender upon palpation. An image of the patient’s eye exam is shown in Figure A. A base of the genital ulcers is scraped and stained and is negative for multinucleated giant cells under the microscope. Which of the following complications is this patient most likely to experience?