Preliminary report on a small group of patients with advanced hodgkins disease

ABSTRACT

Six cases with pregnancy related renal failure are presented. All these patients except one presented with abortion after 28 weeks and with retention of fetus for variable periods. In five cases three had post partum haemorrhage and in one case there was severe infection. All these patients underwent peritoneal dialysis alongwith conservative management of renal failure. Three patients out of six had improvement in their kidney function after 8-12 weeks, three patients had not shown any recovery in the renal function and are on chronic peritoneal dialysis even after five months. Thus incidence of irreversible renal failure in our small number of patient is higher than 10-20% reported in the literature. This is probably due to the fact that these patients developed acute cortical necrosis because of massive heamorrhage, prolonged intrauterine death and septicemia