Abstract
Background: New onset minimal change disease (MCD) is rare in pregnancy with the potential for serious complications including acute kidney injury (AKI). Case: A case of MCD was diagnosed at 19 weeks gestation by renal biopsy. Within one month of starting steroids, the patient experienced normalization of renal function and resolution of nephrotic syndrome, although hemodialysis was needed as a temporizing measure. Conclusion: The differential diagnosis for new onset proteinuria in pregnancy should include MCD. In selected cases, renal biopsy can be used to confirm diagnosis, and when indicated, hemodialysis should be instituted while awaiting a response to steroid therapy.
Original language | English (US) |
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Pages (from-to) | 1282-1284 |
Number of pages | 3 |
Journal | Journal of Maternal-Fetal and Neonatal Medicine |
Volume | 27 |
Issue number | 12 |
DOIs | |
State | Published - Aug 2014 |
Keywords
- Acute kidney injury
- Minimal change disease
- Nephrotic syndrome
- Pregnancy complications
- Renal disease
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Obstetrics and Gynecology