Renal biopsies during the second trimester of pregnancy: report of two cases

Kidney biopsies were performed in two women during their 21st and 24th week of pregnancy. The first patient developed an abrupt nephrotic syndrome without hypertension or kidney failure. The pathological study disclosed diffuse podocyte alterations such as those observed in focal and segmental glome...

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Bibliographic Details
Published in:Revista medíca de Chile 2013-08, Vol.141 (8), p.1072-1075
Main Authors: Vukusich, Antonio, Valls, Gonzalo, Enberg, Margarita, Piedra, María José de la, Contreras, Luis, Bravo, Juan Carlos
Format: Article
Language:Spanish
Subjects:
Adult
Biopsy, Needle
Female
Glomerulonephritis - pathology
Glomerulosclerosis, Focal Segmental - pathology
Humans
Kidney - pathology
Nephrotic Syndrome - diagnosis
Nephrotic Syndrome - pathology
Pregnancy
Pregnancy Trimester, Second
Proteinuria - blood
Renal Insufficiency - diagnosis
Renal Insufficiency - pathology
Young Adult
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Summary:Kidney biopsies were performed in two women during their 21st and 24th week of pregnancy. The first patient developed an abrupt nephrotic syndrome without hypertension or kidney failure. The pathological study disclosed diffuse podocyte alterations such as those observed in focal and segmental glomerulosclerosis, which had a good response to steroidal treatment. The second patient had a progressive renal failure associated with non-nephrotic proteinuria. The biopsy disclosed a fibrillary glomerulopathy.
ISSN:0717-6163
DOI:10.4067/S0034-98872013000800016