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:: Volume 14, Issue 1 (Apr,May 2012) ::
J Shahrekord Univ Med Sci 2012, 14(1): 101-105 Back to browse issues page
Systemic lupus erythematosus (SLE) in pregnancy and severe nephritis (a case-report)
Ali Momeni *
Internal medicine Dept, Shahrekord University of Medical Sciense, Shahrekord, I.R. Iran. , ، E-mail:ali.momeny@yahoo.com
Abstract:   (10384 Views)
Background and aims: Nephritis is one of the most dangerous presentations of SLE. Lupus in pregnancy can increase maternal and fetal mortality. In this report a pregnant woman with lupus nephritis is presented. Case report: A thirty year old woman in 30th week of pregnancy was admitted to internal medicine ward for evaluation of peripheral edema and hypertension. Important findings of her laboratory exam were: azotemia, hematuria, proteinuria, anemia, large size kidneys, active urine sediment, pleural and pericardial effusion, ascites, high titer of ANA, anti dauble strand DNA and lupus anticoagulant. Renal biopsy was done, pulse of methyl prednisolon prescribed and hemodialysis was started. After delivery, pulse of cyclophosphamide was also given and her renal function improved. Conclusion: The patient had not history of rheumatologic disease and the first presentation of lupus was severe nephritis during pregnancy. Fortunately, the response of patient to the treatment was good. After about 3-years follow-up, patient’s renal function is normal and her son seems healthy.
Keywords: : Acute Renal Failure, Lupus, Pregnancy
Full-Text [PDF 147 kb]   (1954 Downloads)    
Type of Study: case report |
Received: 2012/04/7 | Accepted: 2017/09/2 | Published: 2017/09/2
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Momeni A. Systemic lupus erythematosus (SLE) in pregnancy and severe nephritis (a case-report). J Shahrekord Univ Med Sci. 2012; 14 (1) :101-105
URL: http://journal.skums.ac.ir/article-1-1056-en.html


Volume 14, Issue 1 (Apr,May 2012) Back to browse issues page
مجله دانشگاه علوم پزشکی شهرکرد Journal of Shahrekord University of Medical Sciences
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