Glomerular diseases in pregnancy: pragmatic recommendations for clinical management

被引：20

作者：

Fakhouri, Fadi ^{[1
,2
]}

Schwotzer, Nora ^{[1
,2
]}

Cabiddu, Gianfranca ^{[3
,4
]}

Barratt, Jonathan ^{[5
]}

Legardeur, Helene ^{[6
]}

Garovic, Vesna ^{[7
,8
]}

Orozco-Guillen, Alejandra ^{[9
]}

Wetzels, Jack ^{[10
]}

Daugas, Eric ^{[11
,12
,13
]}

Moroni, Gabriella ^{[14
,15
]}

Noris, Marina ^{[16
]}

Audard, Vincent ^{[17
,18
]}

Praga, Manuel ^{[19
]}

Llurba, Elisa ^{[20
,21
]}

Wuerzner, Gregoire ^{[1
]}

Attini, Rossella ^{[22
]}

Desseauve, David ^{[6
]}

Zakharova, Elena ^{[23
,24
]}

Luders, Claudio ^{[25
]}

Wiles, Kate ^{[26
]}

Leone, Filomena ^{[27
]}

Jesudason, Shilpanjali ^{[28
,29
]}

Costedoat-Chalumeau, Nathalie ^{[30
,31
]}

Kattah, Andrea ^{[7
]}

Soto-Abraham, Virgilia ^{[32
]}

Karras, Alexandre ^{[33
,34
]}

Prakash, Jai ^{[35
]}

Lightstone, Liz ^{[36
,37
]}

Ronco, Pierre ^{[38
,39
,40
]}

Ponticelli, Claudio

Appel, Gerald ^{[41
,42
]}

Remuzzi, Giuseppe ^{[16
]}

Tsatsaris, Vassilis

Piccoli, Giorgina Barbara ^{[40
]}

机构：

[1] CHU Vaudois, Dept Med, Serv Nephrol & Hypertens, Lausanne, Switzerland

[2] Univ Lausanne, Lausanne, Switzerland

[3] Univ Cagliari, Dept Med Sci & Publ Hlth, Cagliari, Italy

[4] San Michele Hosp, Dept Nephrol, ARNAS G Brotzu, Cagliari, Italy

[5] Univ Leicester, Dept Cardiovasc Sci, Leicester, England

[6] Lausanne Univ Hosp CHUV, Gynaecol, Woman Mother Child Dept, Lausanne, Switzerland

[7] Mayo Clin, Dept Internal Med, Div Nephrol & Hypertens, Coll Med, Rochester, MN USA

[8] Mayo Clin, Dept Obstet & Gynecol, Coll Med, Rochester, MN USA

[9] Natl Inst Perinatol Isidro Espinosa Reyes INPER, Dept Nephrol, Ciudad De Mexico, Mexico

[10] Hop Cochin, Assistance Publ Hop Paris AP HP, AP HP, Federat Hosp Univ Prematurite FHU PREMA,Maternite, Paris, France

[11] Hop Bichat Claude Bernard, Serv Nephrol, Paris, France

[12] Univ Paris Cite, Serv Nephrol & Hypertens, Rue Bugnon 17, F-1003 Paris, France

[13] Inst Natl Sante Rech Med Inserm U1149, Paris, France

[14] Humanitas Univ, Dept Biomed Sci, Milan, Italy

[15] Humanitas Res Hosp, Ist Ricovero & Cura Carattere Sci IRCCS, Nephrol & Dialysis Div, Milan, Italy

[16] Ist Ricovero & Cura Carattere Sci IRCCS, Ist Ric Farmacol Mario Negri, Lab Immunol & Genet Rare Dis, Bergamo, Italy

[17] Univ Paris Est Creteil, Inst Natl Sante & Rech Med INSERM, Inst Mondor Rech Biomed IMRB, Creteil, France

[18] Hop Univ Henri Mondor, Assistance Publ Hop Paris AP HP, Serv Nephrol & Transplantat, Federat Hosp Univ Innovat Therapy Immune Disorders, Creteil, France

[19] Univ Complutense Madrid, Hosp Univ 12 Octubre, Dept Nephrol, Madrid, Spain

[20] Hosp Santa Creu & Sant Pau, Inst Invest Biomed St Pau IIB St Pau, Dept Obstet & Gynaecol, Madrid, Spain

[21] Inst Salud Carlos III, Primary Care Intervent Prevent Maternal & Child Ch, Madrid, Spain

[22] Univ Turin, St Anna Hosp, Dept Obstet & Gynecol, Citta Salute & Sci, Turin, Italy

[23] Moscow City Hosp, Nephrol, Moscow, Russia

[24] Moscow State Univ Med & Dent, Moscow, Russia

[25] Hosp Sirio Libanes, Ctr Nefrol & Dialise, Sao Paulo, Brazil

[26] Barts Hlth NHS Trust, Dept Womens Hlth, London, England

[27] St Anna Hosp, Clin Nutr Unit, Citta Salute & Sci, Turin, Italy

[28] Royal Adelaide Hosp, Cent Northern Adelaide Renal & Transplantat Serv C, Adelaide, SA, Australia

[29] Univ Adelaide, Fac Hlth & Med Sci, Adelaide, SA, Australia

[30] Univ Paris Cite, Cochin Hosp, Ctr Reference Malad Autoimmunes & Syst Rares Ile F, Paris, France

[31] Ctr Epidemiol & Stat CRESS, Unite Inst Natl Sante & Rech Med INSERM Unite 1153, Paris, France

[32] Hosp Gen Mexico Dr Eduardo Liceaga, Pathol Dept, Mexico City, DF, Mexico

[33] Paris Univ, Paris, France

[34] Georges Pompidou European Hosp, Renal Div, Paris, France

[35] Banaras Hindu Univ, Inst Med Sci, Dept Nephrol, Varanasi, Uttar Pradesh, India

[36] Imperial Coll London, Imperial Lupus Ctr, Dept Med, London, England

[37] Imperial Coll London, Dept Med, Sect Renal Med & Vasc Inflammat, London, England

[38] Sorbonne Univ, Paris, France

[39] Inst Natl Sante & Rech Med, Unite Mixte Rech S1155, Paris, France

[40] Ctr Hosp Mans, Dept Nephrol, 194 Ave Rubillard, F-72037 Le Mans, France

[41] Columbia Univ Med Ctr, Div Nephrol, New York, NY USA

[42] New York Presbyterian Hosp, New York, NY USA

来源：

KIDNEY INTERNATIONAL | 2023年 / 103卷 / 02期

关键词：

fetal complications; glomerular diseases; immunosuppressive drugs; kidney biopsy; pregnancy; CHRONIC KIDNEY-DISEASE; SYSTEMIC-LUPUS-ERYTHEMATOSUS; ANTIBODY-ASSOCIATED VASCULITIS; IMMUNOGLOBULIN-A NEPHROPATHY; MEMBRANOUS NEPHROPATHY; NEPHROTIC SYNDROME; SUPERIMPOSED PREECLAMPSIA; CHRONIC HYPERTENSION; PRIMARY GLOMERULONEPHRITIS; MICROSCOPIC POLYANGIITIS;

D O I：

10.1016/j.kint.2022.10.029

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Our understanding of the various aspects of pregnancy in women with kidney diseases has significantly improved in the last decades. Nevertheless, little is known about specific kidney diseases. Glomerular diseases are not only a frequent cause of chronic kidney disease in young women, but combine many challenges in pregnancy: immunologic diseases, hypertension, proteinuria, and kidney tissue damage. An international working group undertook the review of available current literature and elicited expert opinions on glomerular diseases in pregnancy with the aim to provide pragmatic information for nephrologists according to the present state-of-the-art knowledge. This work also highlights areas of clinical uncertainty and emphasizes the need for further collaborative studies to improve maternal and fetal health.

引用

页码：264 / 281

页数：18

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