alexa Successful pregnancy in a patient with Landesman's Group C autosomal dominant polycystic kidney disease.
Reproductive Medicine

Reproductive Medicine

Gynecology & Obstetrics

Author(s): Mohteshamzadeh M, Coutinho A, Erekosima I, Rustom R, Wong CF

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BACKGROUND: A female with autosomal dominant polycystic kidney disease was followed up over the course of four pregnancies. Her first three pregnancies were unsuccessful. Her fourth pregnancy resulted in a live birth, but at what expense?

INVESTIGATIONS: The diagnosis of autosomal dominant polycystic kidney disease was confirmed by ultrasound imaging. Physical examination, blood pressure measurement, and urine and blood analyses were performed at each follow-up visit.

DIAGNOSIS: Deterioration of renal function following multiple complicated pregnancies.

MANAGEMENT: Attention to blood pressure and proteinuria delayed initiation of dialysis, but effects of the number of pregnancies took their toll. The patient was started on hemodialysis and underwent renal transplantation.

This article was published in Nat Clin Pract Nephrol. and referenced in Gynecology & Obstetrics

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