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Acute renal cortical necrosis in pregnancy: Clinical course and changing prognosis
Affiliation:1. Department of Cellular and Integrative Physiology, Indiana University School of Medicine, Indianapolis, Indiana, USA;2. Department of Physiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA;3. Human & Molecular Genetics Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA;4. Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA;5. Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA;6. Children’s Research Institute, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
Abstract:
Obstetric cortical renal necrosis is a serious complication that can lead to chronic renal failure and the need for chronic dialysis. The aim of renal cortical necrosis therapy is to restore hemodynamic stability, institute early dialytic therapy, and treat the underlying cause of the disease. Most cases of renal cortical necrosis do not recover a normal renal function despite intensive care. We describe the course of a patient who was diagnosed with acute renal cortical necrosis in pregnancy treated with hemodialysis for three years but then she recovered her renal function.
Keywords:Acute renal failure  Cortical necrosis  Hemodialysis  Pregnancy
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