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Dialysis for twins
A 32-year-old woman with known stage-4 chronic kidney disease due to lupus nephritis presented with twin pregnancy after in vitro fertilization at a gestational age of 24 weeks + 3 days because of imminent preterm labour. Repeated ultrasound evaluations confirmed intrauterine growth restriction in b...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4389168/ https://www.ncbi.nlm.nih.gov/pubmed/25859352 http://dx.doi.org/10.1093/ckj/sft155 |
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author | Gramkow, Ann-Maria Aarup, Michael Andersen, Lise Lotte Torvin Tepel, Martin |
author_facet | Gramkow, Ann-Maria Aarup, Michael Andersen, Lise Lotte Torvin Tepel, Martin |
author_sort | Gramkow, Ann-Maria |
collection | PubMed |
description | A 32-year-old woman with known stage-4 chronic kidney disease due to lupus nephritis presented with twin pregnancy after in vitro fertilization at a gestational age of 24 weeks + 3 days because of imminent preterm labour. Repeated ultrasound evaluations confirmed intrauterine growth restriction in both twins and polyhydramnios as the cause of imminent preterm labour. After initiation of haemodialysis treatment, ultrasound evaluation showed a significant decrease in amniotic fluids, and also reduction in blood urea nitrogen and in clinical complaints could be observed. At a gestational age of 28 weeks + 4 days, delivery was performed by Caesarean section. This case study shows that effective treatment of elevated uraemic toxins significantly reduced the morbidity risks of the twins. |
format | Online Article Text |
id | pubmed-4389168 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-43891682015-04-09 Dialysis for twins Gramkow, Ann-Maria Aarup, Michael Andersen, Lise Lotte Torvin Tepel, Martin Clin Kidney J Original Contributions A 32-year-old woman with known stage-4 chronic kidney disease due to lupus nephritis presented with twin pregnancy after in vitro fertilization at a gestational age of 24 weeks + 3 days because of imminent preterm labour. Repeated ultrasound evaluations confirmed intrauterine growth restriction in both twins and polyhydramnios as the cause of imminent preterm labour. After initiation of haemodialysis treatment, ultrasound evaluation showed a significant decrease in amniotic fluids, and also reduction in blood urea nitrogen and in clinical complaints could be observed. At a gestational age of 28 weeks + 4 days, delivery was performed by Caesarean section. This case study shows that effective treatment of elevated uraemic toxins significantly reduced the morbidity risks of the twins. Oxford University Press 2014-02 2014-01-12 /pmc/articles/PMC4389168/ /pubmed/25859352 http://dx.doi.org/10.1093/ckj/sft155 Text en © The Author 2014. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For permissions, please email: journals.permissions@oup.com. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Original Contributions Gramkow, Ann-Maria Aarup, Michael Andersen, Lise Lotte Torvin Tepel, Martin Dialysis for twins |
title | Dialysis for twins |
title_full | Dialysis for twins |
title_fullStr | Dialysis for twins |
title_full_unstemmed | Dialysis for twins |
title_short | Dialysis for twins |
title_sort | dialysis for twins |
topic | Original Contributions |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4389168/ https://www.ncbi.nlm.nih.gov/pubmed/25859352 http://dx.doi.org/10.1093/ckj/sft155 |
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