Anti-glomerular basement membrane antibody disease presenting as acute renal failure during pregnancy
Joint Authors
Malik, Ghulam Hasan
al-Muhayya, Sulayman
al-Harbi, Ali
Akhtar, Muhammad
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 14, Issue 4 (31 Aug. 2003), pp.516-521, 6 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2003-08-31
Country of Publication
Saudi Arabia
No. of Pages
6
Main Subjects
Topics
Abstract EN
A 30-year-old seventh gravid a presented with acute renal failure at 28 weeks of gestation.
All her previous pregnancies were normal.
With a differential diagnosis of acute pyelonephritis, acute interstitial nephritis (cefuroxime induced) or rapidly progressive glomerulonephritis, treatment with antibiotics, intensive hemodialysis (HD) and pulse methylprednisolone followed by oral prednisolone was initiated.
She was maintained on HD 5-6 times per week aiming at serum urea level of less than 15 mmol / L.
After six weeks on HD, she underwent a cesarean section at 34 weeks of gestation with delivery of a baby weighing 1.6 kg.
Percutaneous left renal biopsy performed one week post-delivery showed anti-glomerular basement membrane (GBM) antibody-mediated crescentic glomerulonephritis.
The anti-GBM antibody, which was negative during pregnancy, was found to be positive at this juncture and remained so until ten months post-delivery while on HD.
The patient continues to be on regular maintenance HD.
American Psychological Association (APA)
al-Harbi, Ali& Malik, Ghulam Hasan& al-Muhayya, Sulayman& Akhtar, Muhammad. 2003. Anti-glomerular basement membrane antibody disease presenting as acute renal failure during pregnancy. Saudi Journal of Kidney Diseases and Transplantation،Vol. 14, no. 4, pp.516-521.
https://search.emarefa.net/detail/BIM-60480
Modern Language Association (MLA)
al-Harbi, Ali…[et al.]. Anti-glomerular basement membrane antibody disease presenting as acute renal failure during pregnancy. Saudi Journal of Kidney Diseases and Transplantation Vol. 14, no. 4 (Aug. 2003), pp.516-521.
https://search.emarefa.net/detail/BIM-60480
American Medical Association (AMA)
al-Harbi, Ali& Malik, Ghulam Hasan& al-Muhayya, Sulayman& Akhtar, Muhammad. Anti-glomerular basement membrane antibody disease presenting as acute renal failure during pregnancy. Saudi Journal of Kidney Diseases and Transplantation. 2003. Vol. 14, no. 4, pp.516-521.
https://search.emarefa.net/detail/BIM-60480
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 520-521
Record ID
BIM-60480