Renal Parenchymal Disease Mimicking Preeclampsia

Abstract

AbstractA 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.