Re: elevated uric acid in pregnancy

From: baranakis haris (baranak@med.uch.gr)
Fri Mar 13 11:19:50 1998


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Thanks for reply. No 24-h urine collection proteinouria., no excessive weight gain, no edema. BP 110/80 now , i didn't measured urine Ca ++ and she feels perfect. I actually treat her like preeclampsia but i wonder if something hidden

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baranakis haris wrote:

> Hello member list . I want your opinion about a patient > 24yo, primipara, no any problem till 27 w started a slide elevation BP > 140/90. I made all lab test( no proteinouria, renal function ok, liver > enzymes ok, PLT ok, no elevated Ca++, doppler at 22w and 27w ok, AFI ok, > no IUGR, glucosa ok). With a-methyl-dopa 0,5 gr per day BP 110/70. The > only i notice is a continues elevation of uric acid from 3,2 at the > early pregnancy 3,8 at 20w 4,6 at 27w after 4 days 5,8. Now the > pregnancy is 32 w and UA is 7,8. All other laboratory test are ok( every > week check up) The only i can find at the u/s i made at 32 w is a > subchorionic fluid collection, after a doppler determination seems to > be a blood lake( no other u/s findings , s/d ok, AFI OK, no IUGR, BFP > OK) > How i can manage this pregnancy. What means this elevation of UA , any > association with the u/s findings? Can this pregnancy continue till end > or induce earlier? Any opinion about the u/s findings? Any help > acceptable. > > VARANAKIS HARIS > Private ob-gyn > Iraklion Crete > GREECE > > ------------------------------------------------------------------------ > > ------------------------------------------------------------------------ > ΧΑΡΗΣ ΒΑΡΑΝΑΚΗΣ ΒΑΡΑΝΑΚΗΣ;ΧΑΡΗΣ < baranak@med.uch.gr> > ------------------------------------------------------------------------ > Μαιευτηρας-Γυναικολογος > > ΧΑΡΗΣ ΒΑΡΑΝΑΚΗΣ ΒΑΡΑΝΑΚΗΣ;ΧΑΡΗΣ > Μαιευτηρας-Γυναικολογος < baranak@med.uch.gr> > Λ. Ικαρου 112;;;Ηρακλειο;Κρητη;71307;Ελλαδα;;;;;; Work: (081)-225769, 093-250691 > Fax: (081)-225769 > Netscape Conference Address > Netscape Conference DLS Server > Additional Information: > Last NameΒΑΡΑΝΑΚΗΣ;ΧΑΡΗΣ;ΧΑΡΗΣ ΒΑΡΑΝΑΚΗΣ > Version 2.1





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