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 |