Erschienen in:
01.12.2014 | Case Report
Renal Tubular Acidosis: An Uncommon Cause of Bad Obstetric History
verfasst von:
Siddharth H. Jain, Vellanki V. Sainarersh, Himanshu V. Patel, Hargovind L. Trivedi
Erschienen in:
The Journal of Obstetrics and Gynecology of India
|
Sonderheft 1/2014
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Excerpt
Recurrent pregnancy loss is a challenging scenario for both the patient and clinician. The reported prevalence varies between 0.4 and 1 % [
1]. Nephrologists are increasingly called upon to play an active role in establishing the cause of the same as a part of evaluation of altered renal parameters in patients with bad obstetric history. Renal tubular acidosis (RTA) is one such clinical entity arising out of altered tubular function commonly as a manifestation of various systemic diseases. In pregnancy, it has also been reported occasionally as a transient phenomenon without any apparent etiology [
2]. This entity, although very rare in pregnancy [
3], has been shown to be associated with adverse maternal and fetal outcomes [
2]. Early recognition and action to redress the same can help in achieving optimum outcome. We hereby describe a case of a 30-year-old female having history of multiple pregnancy losses. Investigations revealed distal RTA possibly secondary to Sjogren’s syndrome. …
