Table 1: Summary of the details of the three cases.

 

Case A

Case B

Case C

Age

17 -Year Old

35- Year Old

30 -Year Old

Gravida at referral

G1P0

G1P1

G2P0

Comorbidities

Nil

Nil

Smoker

Booking parameters

Normotensive

Nil proteinuria

Cr 49 umol/L

Normotensive

Nil proteinuria

Cr 60 umol/L

Normotensive

Microscopic haematuria and mild

proteinuria

Cr 69 umol/L

Pre-eclampsia features

Hypertensive

IUGR

Hypertensive

IUGR

Hypertensive

IUGR

Ave proteinuria during pregnancy

13 grams/L

PCR 310 g/mol creat

PCR 252 g/mol creat

Foetal outcomes

Caesarean section at 26 weeks due to foetal distress

Caesarean section at 37 weeks gestation

Second child - placental abruption, Fetal Death In Utero Third child - normal birth 37 weeks, Caesarean section

Renal biopsy results

 

25 weeks pregnant -Endotheliosis

16 months post-partum

FSGS 2/14 glomeruli, minimal fibrosis

6 months post-partum

FSGS - 7/21 glomeruli

10 weeks post-partum

FSGS - 6/11 glomeruli sclerosed, interstitial fibrosis

Current CKD parameters

Cr 50 umol/L

ACR 45.6 g/mol creat

Cr 143 umol/L

Urinary protein 2.3 g/L

Dialysis dependence