Renal Parenchymal Disease Mimicking Preeclampsia

• Main Authors: Sashikala Paul, Indrani Garre, Kumar Achukatla
• Format: Article
• Language: English
• Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2018-08-01
• Series: Indian Journal of Cardiovascular Disease in Women
• Subjects: preeclampsia; renal parenchymal disease; hypertension
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1677623

A 28-year-old primigravida woman, who was diagnosed with preeclampsia and managed with calcium channel blockers during the pregnancy for control of hypertension, was referred to the cardiologist 2 weeks after the pregnancy for management of accelerated hypertension. Preeclampsia diagnosis is substantiated by detecting hypertension in the 20th week of pregnancy, pedal edema, proteinuria, and liver enzyme abnormalities. A subsequent evaluation found that the patient had shrunken kidney, perhaps due to chronic pyelonephritis. Physicians always have to keep in mind to detect the secondary cause of hypertension in a pregnant woman.