Pregnancy in a woman with recurrent immunoglobulin a nephropathy: A case report

Case Reports in Women's Health
A CarossoC Benedetto

Abstract

Immunoglobulin A nephropathy (IgAN) is the most common form of primary glomerulonephritis and is increasingly encountered in pregnancy. The obstetric and renal outcomes of pregnancy are controversial, however. Women with IgAN are at higher risk of hypertension, preeclampsia and foetal loss; the prognosis is worse for those who have advanced chronic kidney disease and proteinuria. Here we report the case of a 32-year-old nulliparous woman with chronic hypertension who conceived during an active phase of her IgAN, which had been diagnosed 8 years earlier. Antihypertensive therapies and a low-protein diet were key to her reaching 34 weeks' gestation with acceptable kidney function. Rupture of membranes occurred at 34 weeks 3 days' gestation and a healthy boy was delivered the next day. This report aims to provide clinicians with useful information for the management of patients with IgAN during pregnancy.

Methods Mentioned

BETA
glycosylation
biopsy
periodic acid Schiff
pregnancy test

Related Concepts

Related Feeds

Antihypertensive Agents: Mechanisms of Action

Antihypertensive drugs are used to treat hypertension (high blood pressure) which aims to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Discover the latest research on antihypertensive drugs and their mechanism of action here.

Related Papers

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Bo Ying ChoyKar Neng Lai
American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Youxia LiuHong Zhang
São Paulo Medical Journal = Revista Paulista De Medicina
Ivete Cristina Teixeira CantiHelena von Eye Corleta
© 2022 Meta ULC. All rights reserved