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Şiddetli Preeklampsi Gelişen Olgunun Böbrek Biyopsisi: Kresentik IgA Nefriti

Renal Biopsy in Patients Developing Severe Pre-eclampsia: Crescentic IgA Nephritis

Journal Name:

Publication Year:

DOI: 
10.5262/tndt.2011.1003.14
Abstract (2. Language): 
IgA nephritis is known as the most common glomerulonephritis and a disease with good prognosis. Acute renal failure, nephrotic syndrome and malignant hypertension can be seen less than 10% of patients with IgA nephritis. Acute renal failure occurs due to crescentic IgA nephritis or tubular occlusion or tubuler injury due to severe glomerular hematuria. IgA nephritis in pregnancy have a good prognosis. On the other hand; the most common renal complication during pregnancy is development of preeclampsia. Preeclampsia occurs in approximately 5% of all pregnancies. Underlying renal pathology increases the risk of preeclampsia.We presented this case with cresentic IgA nephritis with severe preeclampsia to emphasize this issue.
Abstract (Original Language): 
IgA nefriti en sık görülen glomerülonefrit olup iyi seyirli bir hastalık olarak bilinir. IgA nefritli hastaların %10’dan daha azında akut böbrek yetmezliği, nefrotik sendrom ve malign hipertansiyon görülebilir. Akut böbrek yetmezliği; kresentik IgA nefritine veya ağır glomerüler hematüriye bağlı tübüler oklüzyona veya tübüler hasara bağlı gelişir. Gebelikte IgA nefriti iyi bir prognoza sahiptir. Öte yandan, hamilelik sırasında en sık görülen renal komplikasyon preeklampsi gelişimidir. Preeklampsi tüm gebeliklerin yaklaşık % 5’inde görülür. Altta yatan renal patoloji preeklampsi riskini artırır. Şiddetli preeklampsili ve kresentik IgA nefritli olguyu bu konuyu vurgulamak için sunduk.
290-294

REFERENCES

References: 

1. Levy M, Berger J: Worldwide perspective of IgA nephropathy. Am
J Kidney Disease 1988; 12: 340-347
2. Hall CL, Bradley R, Kerr A, Attoti R, Peat D: Clinical value of
renal biopsy in patients with asymptomatic microscopic hematuria
with and without low-grade proteinuria. Clin Nephrol 2004; 62(4):
267-272
3. Topham PS, Harper SJ, Furness PN, Harris KP, Walls J, Feehally J:
Glomerular disease as a cause of isolated microscopic haematuria.
Q J Med 1994; 87: 329-335
4. Smith AC, Feehally J: New insights into the pathogenesis of IgA
nephropathy. Pathogenesis of IgA nephropathy. Springer Semin
Immunopathol 2003; 24(4): 477-493
5. Packham DK, North RA, Fairley KF, Whitworth JA, Kincaid-Smith
P: IgA glomerulonephritis and pregnancy. Clin Nephrol 1988;
30(1): 15-21
6. Limardo M, Imbasciati E, Ravani P, Surian M, Torres D,
Gregorini G, Magistroni R, Casellato D, Gammaro L, Pozzi C;
Rene e Gravidanza Collaborative Group of the Italian Society of
Nephrology: Pregnancy and progression of IgA nephropathy:
Results of an Italian multicenter study. Am J Kidney Dis 2010;
56(3): 506-512
Gibyeli Genek D ve ark : Şiddetli Preeklampsi Gelişen Olgunun Böbrek Biyopsisi:
Kresentik IgA Nefriti
Turk Neph Dial Transpl 2011; 20 (3): 290-294
294
Türk Nefroloji Diyaliz ve Transplantasyon Dergisi
Turkish Nephrology, Dialysis and Transplantation Journal
7. Maynard SE, Thadhani R: Pregnancy and the kidney. J Am Soc
Nephrol 2009; 20(1): 14-22
8. Johnson RJ, Feehally J: Comprehensive Clinical Nephrology (3 rd
ed). Renal complications in pregnancy. Edinburgh: Mosby; 2004:
483-493
9. Mirza FG, Cleary KL: Pre-eclampsia and the kidney. Semin
Perinatol 2009; 33(3): 173-178
10. Amir AR, Sheikh SS: ANCA-associated crescentic IgA
glomerulonephritis in pregnancy. J Nephrol 2002; 15(6): 716-719
11. Komatsuda A, Wakui H, Yasuda T, Imai H, Miura AB, Tsuda
A, Nakamoto Y: Successful delivery in a pregnant women with
crescentic IgA nephropathy. Intern Med 1994; 33(11): 723-726

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