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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...

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Detalles Bibliográficos
Autores principales: Gramkow, Ann-Maria, Aarup, Michael, Andersen, Lise Lotte Torvin, Tepel, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2014
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.
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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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