Focal segmental glomerulosclerosis after pregnancy complicated with preeclampsy and acute renal injury. Case report

  • Luis Arellán-Bravo Universidad Nacional Mayor de San Marcos, Lima, Perú
  • José Valencia-Rodríguez Hospital Nacional Dos de Mayo, Lima, Perú
  • Luis Sánchez-Pérez Hospital Nacional Dos de Mayo, Lima, Perú
  • Fernando Mayor-Balta Hospital Nacional Dos de Mayo, Lima, Perú
Keywords: focal and segmental glomerulosclerosis; preeclampsia; pregnancy; podocyturia; proteinuria; nephrotic syndrome

Abstract

We describe the case of a 35-year-old patient, who experienced preeclampsia and oliguric acute renal injury during her last pregnancy, requiring intervention by emergency cesarean section and dialysis support with a total of 16 hemodialysis sessions; she responded favorably.
Four months after discharge, she developed nephrotic syndrome, so she was hospitalized for better management and a thorough etiologic research. Support measures were taken with no need for renal replacement therapy; secondary lesions were ruled out and a renal biopsy was performed. The pathological study concluded that it was a focal segmental glomerulosclerosis, in its perihilar variant.
The patient responded favorably during her hospitalization and when discharged, she was summoned to continue management by external consultation. The appearance of nephrotic syndrome months after pregnancy may suggest the presence of an underlying glomerulopathy or de novo glomerulopathy.

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Published
2020-08-27
How to Cite
1.
Arellán-Bravo L, Valencia-Rodríguez J, Sánchez-Pérez L, Mayor-Balta F. Focal segmental glomerulosclerosis after pregnancy complicated with preeclampsy and acute renal injury. Case report. Rev Nefrol Dial Traspl. [Internet]. 2020Aug.27 [cited 2024Jul.16];40(1):46-0. Available from: http://revistarenal.org.ar/index.php/rndt/article/view/508
Issue
Vol. 40 No. 1 (2020): Ene.-Mar.
Section
Case Report

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