A Pregnant Woman with IgA Nephropathy Showing Histological Preeclampsia Findings without Hypertension Treated with Steroids: A Case Report and Literature Review

A 35-year-old woman pregnant with twins developed nephrotic syndrome (NS) at 33 weeks' gestation, but her blood pressure remained within the normal range throughout gestation and puerperium. At 34 weeks' gestation, she delivered healthy twins via Caesarean section. After delivery, she deve...

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Detalles Bibliográficos
Autores principales: Koda, Nagisa, Matsumoto, Kei, Maruyama, Yukio, Ishikawa, Naomi, Tsuboi, Nobuo, Kawamura, Tetsuya, Yokoo, Takashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10183282/
https://www.ncbi.nlm.nih.gov/pubmed/36130896
http://dx.doi.org/10.2169/internalmedicine.9146-21
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author Koda, Nagisa
Matsumoto, Kei
Maruyama, Yukio
Ishikawa, Naomi
Tsuboi, Nobuo
Kawamura, Tetsuya
Yokoo, Takashi
author_facet Koda, Nagisa
Matsumoto, Kei
Maruyama, Yukio
Ishikawa, Naomi
Tsuboi, Nobuo
Kawamura, Tetsuya
Yokoo, Takashi
author_sort Koda, Nagisa
collection PubMed
description A 35-year-old woman pregnant with twins developed nephrotic syndrome (NS) at 33 weeks' gestation, but her blood pressure remained within the normal range throughout gestation and puerperium. At 34 weeks' gestation, she delivered healthy twins via Caesarean section. After delivery, she developed massive proteinuria (21.1 g/day) and severe hypoalbuminemia (1.0 g/dL). A renal biopsy performed 19 days after delivery revealed IgA nephropathy (IgAN) and preeclampsia. She was treated with steroids, and the NS gradually resolved. This is a rare case of massive gestational proteinuria with IgAN and preeclampsia pathologically that did not meet the clinical criteria for preeclampsia.
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spelling pubmed-101832822023-05-15 A Pregnant Woman with IgA Nephropathy Showing Histological Preeclampsia Findings without Hypertension Treated with Steroids: A Case Report and Literature Review Koda, Nagisa Matsumoto, Kei Maruyama, Yukio Ishikawa, Naomi Tsuboi, Nobuo Kawamura, Tetsuya Yokoo, Takashi Intern Med Case Report A 35-year-old woman pregnant with twins developed nephrotic syndrome (NS) at 33 weeks' gestation, but her blood pressure remained within the normal range throughout gestation and puerperium. At 34 weeks' gestation, she delivered healthy twins via Caesarean section. After delivery, she developed massive proteinuria (21.1 g/day) and severe hypoalbuminemia (1.0 g/dL). A renal biopsy performed 19 days after delivery revealed IgA nephropathy (IgAN) and preeclampsia. She was treated with steroids, and the NS gradually resolved. This is a rare case of massive gestational proteinuria with IgAN and preeclampsia pathologically that did not meet the clinical criteria for preeclampsia. The Japanese Society of Internal Medicine 2022-09-21 2023-04-15 /pmc/articles/PMC10183282/ /pubmed/36130896 http://dx.doi.org/10.2169/internalmedicine.9146-21 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Koda, Nagisa
Matsumoto, Kei
Maruyama, Yukio
Ishikawa, Naomi
Tsuboi, Nobuo
Kawamura, Tetsuya
Yokoo, Takashi
A Pregnant Woman with IgA Nephropathy Showing Histological Preeclampsia Findings without Hypertension Treated with Steroids: A Case Report and Literature Review
title A Pregnant Woman with IgA Nephropathy Showing Histological Preeclampsia Findings without Hypertension Treated with Steroids: A Case Report and Literature Review
title_full A Pregnant Woman with IgA Nephropathy Showing Histological Preeclampsia Findings without Hypertension Treated with Steroids: A Case Report and Literature Review
title_fullStr A Pregnant Woman with IgA Nephropathy Showing Histological Preeclampsia Findings without Hypertension Treated with Steroids: A Case Report and Literature Review
title_full_unstemmed A Pregnant Woman with IgA Nephropathy Showing Histological Preeclampsia Findings without Hypertension Treated with Steroids: A Case Report and Literature Review
title_short A Pregnant Woman with IgA Nephropathy Showing Histological Preeclampsia Findings without Hypertension Treated with Steroids: A Case Report and Literature Review
title_sort pregnant woman with iga nephropathy showing histological preeclampsia findings without hypertension treated with steroids: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10183282/
https://www.ncbi.nlm.nih.gov/pubmed/36130896
http://dx.doi.org/10.2169/internalmedicine.9146-21
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