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Successful delivery in a patient with antineutrophil cytoplasmic antibody-associated glomerulonephritis. 2013
Megumi Oshima, and
Shinji Kitajima, and
Tadashi Toyama, and
Akinori Hara, and
Kiyoki Kitagawa, and
Yasunori Iwata, and
Miho Shimizu, and
Saori Nishio, and
Junko Imura, and
Hitoshi Yokoyama, and
Kengo Furuichi, and
Shuichi Kaneko, and
Takashi Wada
Division of Nephrology, Kanazawa University Hospital, Japan.
We herein report a case of spontaneous pregnancy and preterm delivery in a 29-year-old patient with myeloperoxidase-antineutrophil cytoplasmic antibody (ANCA)-associated glomerulonephritis. Her basal serum creatinine level before pregnancy was 1.4 mg/dL and her urinary protein level was approximately 2 g/day. The proteinuria and hematuria increased during pregnancy, and the patient was admitted to our hospital and treated with prednisolone (PSL). At 27 weeks of gestation, she delivered a live infant weighing 848 g via cesarean section. No relapse of ANCA-associated glomerulonephritis occurred.
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