Острое повреждение почек (ОПП) в акушерской практике представляет собой серьезное, угрожающее жизни как матери, так и плода осложнение беременности и послеродового периода. В последние десятилетия в развитых странах растет доля акушерского ОПП, обусловленного тромботическими микроангиопатиями (ТМА). Среди различных форм акушерских ТМА, которые могут появиться во второй половине беременности и после родов, наиболее тяжелое поражение почек развивается при атипичном гемолитико-уремическом синдроме (аГУС), характеризующемся развитием ОПП в 100% случаев. У подавляющего большинства пациенток аГУС протекает с развитием полиорганной недостаточности. Своевременная диагностика аГУС и незамедлительное начало терапии экулизумабом позволяют не только спасти жизнь пациенткам с аГУС, но и полностью восстановить их здоровье.
Acute kidney injury (AKI) in obstetrics is a serious complication of pregnancy and postpartum period that threatens life of the mother and of the child. In recent decades the percent of AKI associated with thrombotic microangiopathies (TMA) in obstetrics has increased. Among various TMA forms that may develop in the second half of pregnancy and in postpartum period, the worst kidney injury is associated with atypical hemolytic uremic syndrome (AHUS) that is followed with AKI development in 100% of cases. In most patients AHUS is followed by multiple organ dysfunction syndrome. Modern AHUS diagnostics and undelayed start of therapy with eculizumab allows not only to save patients' lives but also to have them recovered.
1. Godara SM, Kute VB, Trivedi HL et al. Clinical profile and outcome of acute kidney injury related to pregnancy in developing countries: a single-center study from India. Saudi J Kidney Dis Transpl 2014; 25: 906–11. DOI: 10.4103/1319-2442.135215
2. Hildebrand AM, Liu K, Shariff SZ et al. Characteristics and outcomes of AKI treated with dialysis during pregnancy and the postpartum period. J Am Soc Nephrol 2015; 26: 3085–91. DOI: 10.1681/ASN.2014100954
3. Patel ML, Sachan R, Radheshyam SP. Acute renal failure in pregnancy: tertiary centre experience from north Indian population. NigerMed J 2013; 54: 191–5. DOI: 10.4103/0300-1652.114586
4. Bentata, Y, Housni B, Mimouni A et al. R. Acute kidney injury related to pregnancy in developing countries: Etiology and risk factors in an intensive care unit. J Nephrol 2012; 25: 764–75. DOI: 10.5301/jn.5000058
5. Nwoko R, Plecas D, Garovic VD. Acute kidney injury in the pregnant patient. Clin Nephrol 2012; 78: 478–86. DOI: 10.5414/CN107323
6. Van Hook JW. Acute kidney injury during pregnancy. Clin Obstet Gynecol 2014; 57: 851–61. DOI: 10.1097/GRF.0000000000000069
7. Gopalakrishnan N, Dhanapriya J, Muthukumar P et al. Acute kidney injury in pregnancy – a single center experience. Ren Fail 2015; 37 (9): 1476–80. DOI: 10.3109/0886022X.2015.1074493
8. Mehta RL, Cerdá J, Burdmann EA et al. International Society of Nephrology's 0by25 initiative for acute kidney injury (zero preventable deaths by 2025): A human rights case for nephrology. Lancet 2015; 385: 2616–43.
9. Macedo E, Mehta RL. Preventing Acute Kidney Injury. Crit Care Clin 2015; 31: 773–84.
10. Perico N, Remuzzi G. Prevention programs for chronic kidney disease in low-income countries. Intern Emerg Med 2016; 11: 385–9.
11. Jim B, Garovic VD. Acute Kidney Injury in Pregnancy. Semin Nephrol 2017; 37: 378–85.
12. Fakhouri F, Deltombe C. Pregnancy-related acute kidney injury in high income countries: Still a critical issue. J Nephrol 2017; 30: 767–71.
13. Ibarra-Hernández M, Orozco-Guillén OA, de la Alcantar-Vallín ML et al. Acute kidney injury in pregnancy and the role of underlying CKD: A point of view from México. J Nephrol 2017; 30: 773–80.
14. Prakash J, Pant P, Prakash S et al. Changing picture of acute kidney injury in pregnancy: Study of 259 cases over a period of 33 years. Indian J Nephrol 2016; 26: 262–7.
15. Ibrahim A, Ahmed MM, Kedir S, Bekele D. Clinical profile and outcome of patients with acute kidney injury requiring dialysis. An experience from a haemodialysis unit in a developing country. BMC Nephrol 2016; 17: 91.
16. Jha V, Chugh KS. Community-acquired acute kidney injury in Asia. Semin Nephrol 2008; 28: 330–47.
17. Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney Int (Suppl.) 2012; 1: 1–126.
18. Шилов Е.М., Смирнов А.В., Козловская Н.Л. Нефрология. Клинические рекомендации. М.: ГЭОТАР-Медиа, 2016. / Shilov E.M., Smirnov A.V., Kozlovskaia N.L. Nefrologiia. Klinicheskie rekomendatsii. M.: GEOTAR-Media, 2016. [in Russian]
19. Machado S, Figueiredo N, Borges A et al. Acute kidney injury in pregnancy: a clinical challenge. J Nephrol 2012; 25 (1): 19–30. https: //doi.org/10.5301/jn.5000013
20. Прокопенко Е.И. Острое повреждение почек и беременность. Нефрология. 2018; 22 (2): 39–49. https: //doi.org/10.24884/1561-6274-2018-22-2-39-49 / Prokopenko E.I. Ostroe povrezhdenie pochek i beremennost'. Nefrologiia. 2018; 22 (2): 39–49. https: //doi.org/10.24884/1561-6274-2018-22-2-39-49 [in Russian]
21. Ganesan C, Maynard SE. Acute kidney injury in pregnancy: the thrombotic microangiopathies. J Nephol 2011; 24 (5): 554–63. https: //doi.org/10.5301/JN.2011.6250
22. Mehrabadi A, Liu SL, Bartholomew S, Hutcheon JA et al. Hypertensive disorders of pregnancy and the recent increase in obstetric acute renal failure in Canada: population based retrospective cohort study. BMJ 2014; 349: g4731.
23. Lunn MR, Obedin-Maliver J, Hsu CY. Increasing incidence of acute kidney injury: also a problem in pregnancy? Am J Kidney Dis 2015; 65 (5): 650–4. https: //doi.org/10.1053/j.ajkd.2014.11.007
24. Hou S, Peano C. Acute renal failure in pregnancy. Saudi J Kidney Dis Transpl 1998; 9 (3): 261–6.
25. Khanal N, Ahmed E, Akhtar F. Epidemiology, causes and outcome of obstetric acute kidney injury. In: Vijayakumar S, ed. Novel insights on chronic kidney disease, acute kidney injury and polycystic kidney disease. Rijeka, InTech 2012; 67–81.
26. Alsuwaida A. Challenges in diagnosis and treatment of acute kidney injury during pregnancy. Nephrourol Mon 2012; 4 (1): 340–4. https: //doi.org/10.5812/kowsar.22517006.1608
27. Rahman S, Gupta RD, Islam N et al. Pregnancy related acute renal failure in a tertiary care hospital in Bangladesh. J Med 2012; 13: 129–32. https: //doi.org/10.3329/jom.v13i2.12739
28. Prakah J. The kidney in pregnancy: a journey of three decades. Indian J Nephrol 2012; 22: 159–67. https: //doi.org/10.4103/0971-4065.98750
29. Aggarwal RS, Mishra VV, Jasani AF, Gumber M. Acute renal failure in pregnancy: our experience. Saudi J Kidney Dis Transpl 2014; 25 (2): 450–5. PMID: 24626025.
30. Krishna A, Singh R, Prasad N et al. Maternal, fetal and renal outcomes of pregnancy-associated acute kidney injury requiring dialysis. Ind J Nephrol 2015; 25 (2): 77–81. https: //doi.org/10.4103/0971-4065.136890
31. Jeon DS, Kim TH, Lee HH, Byun DW. Acute renal failure during pregnancy. Open J Nephrol 2013; 3: 11–2. https: //doi.org/10.4236/ojneph.2013.31003
32. Prakash J, Pant P, Prakash S et al. Changing picture of acute kidney injury in pregnancy: Study of 259 cases over a period of 33 years. Ind J Nephrol 2016; 26 (4): 262–7. DOI: 10.4103/0971-4065.161018
33. Prakash J, Niwas SS, Parekh A et al. Acute kidney injury in late pregnancy in developing countries. Ren Fail 2010; 32: 309–13.
34. Zhou Y, Fan W, Dong J et al. Establishment of a model to predict the prognosis of pregnancy-related acute kidney injury. Minerva Urol Nefrol 2018; 70 (4): 437–43. DOI: 10.23736/S0393-2249.18.02960-0
35. Sivakumar V, Sivaramakrishna G, Sainaresh VV et al. Pregnancyrelated acute renal failure: A ten-year experience. Saudi J Kidney Dis Transpl 2011; 22: 352–3.
36. Rao S, Jim B. Acute Kidney Injury in Pregnancy: The Changing Landscape for the 21st Century. Kidney Int Rep 2018; 3 (2): 247–57. DOI: 10.1016/j.ekir.2018.01.011
37. Duley L. The global impact of pre-eclampsia and eclampsia. Semin Perinatol 2009; 33: 130–7.
38. Powles K, Gandhi S. Postpartum hypertension. CMAJ 2017; 189: E913.
39. Меркушева Л.И., Козловская Н.Л. Поражение почек при преэклампсии: взгляд нефролога (обзор литературы). Нефрология. 2018; 22 (2): 30–8. https: //doi.org/10.24884/1561-6274-2018-22-2-30-38 / Merkusheva L.I., Kozlovskaia N.L. Porazhenie pochek pri preeklampsii: vzgliad nefrologa (obzor literatury). Nefrologiia. 2018; 22 (2): 30–8. https: //doi.org/10.24884/1561-6274-2018-22-2-30-38 [in Russian]
40. Moran P, Baylis PH, Lindheimer MD, Davison JM. Glomerular ultrafiltration in normal and preeclamptic pregnancy. J Am Soc Nephrol 2003; 14 (3): 648–52.
41. Kuklina EV, Ayala C, Callaghan WM. Hypertensive disorders and severe obstetric morbidity in the United States. Obstet Gynecol 2009; 113: 1299–306.
42. KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations for Diabetes and Chronic Kidney Disease Practice Guideline KDOQI. Am J Kidney Dis 2007. DOI: 10.1053/j.ajkd.2006.12.005
43. Smith MC, Moran P, Ward MK, Davison JM. Assessment of glomerular filtration rate during pregnancy using the MDRD formula. BJOG 2008; 115 (1): 109–12
44. Tsai HM. A Mechanistic Approach to the Diagnosis and Management of Atypical Hemolytic Uremic Syndrome. Transfus Med Rev 2014; 28 (4): 187–97.
45. Fakhouri F, Fremeaux-Bacchi V. Does hemolytic uremic syndrome differ from thrombotic thrombocytopenic purpura. Nat Clin Pract Nephrol 2007; 3: 679–87.
46. Noris M, Remuzzi G. Atypical hemolytic-uremic syndrome. N Engl J Med 2009; 361: 1676–87.
47. Козловская Н.Л., Коротчаева Ю.В., Шифман Е.М., Боброва Л.А. Атипичный гемолитико-уремический синдром как одна из причин острого повреждения почек у беременных. Терапевтический архив. 2018; 90 (6): 28–32. doi.org/10.26442/terarkh201890628-34 / Kozlovskaia N.L., Korotchaeva Iu.V., Shifman E.M., Bobrova L.A. Atipichnyi gemolitiko-uremicheskii sindrom kak odna iz prichin ostrogo povrezhdeniia pochek u beremennykh. Therapeutic Archive. 2018; 90 (6): 28–32. doi.org/10.26442/terarkh201890628-34 [in Russian]
48. Kozlovskaya NL, Korotchaeva YV, Bobrova LA. Adverse outcomes in obstetric-atypical haemolytic uraemic syndrome: a case series analysis. J Matern Fetal Neonatal Med 2018: 1–7. DOI: 10.1080/14767058.2018.1450381
49. Fakhouri F, Vercel C, Frémeaux-Bacchi V. Obstetric nephrology: AKI and thrombotic microangiopathies in pregnancy. Clin J Am Soc Nephrol 2012; 7 (12): 2100–6.
50. Huerta A, Arjona E, Portoles J et al. A retrospective study of pregnancy-associated atypical hemolytic uremic syndrome. Kidney Int 2018; 93 (2): 450–9. DOI: 10.1016/j.kint.2017.06.022
51. Коротчаева Ю.В., Козловская Н.Л., Демьянова К.А. и др. Генетические аспекты акушерского атипичного гемолитико-уремического синдрома. Клин. нефрология. 2017; 1: 12–7. / Korotchaeva Iu.V., Kozlovskaia N.L., Dem'ianova K.A. i dr. Geneticheskie aspekty akusherskogo atipichnogo gemolitiko-uremicheskogo sindroma. Klin. nefrologiia. 2017; 1: 12–7. [in Russian]
52. Прокопенко Е.И. Острое повреждение почек и беременность. Нефрология. 2018; 22 (2): 39–49. https: //doi.org/10.24884/1561-6274-2018-22-2-39-49 / Prokopenko E.I. Ostroe povrezhdenie pochek i beremennost'. Nefrologiia. 2018; 22 (2): 39–49. https: //doi.org/10.24884/1561-6274-2018-22-2-39-49 [in Russian]
53. American College of Obstetricians and Gynecologists, Task Force on Hypertension in Pregnancy Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists' Task Force on Hypertension in Pregnancy. Obstet Gynecol 2013; 122: 1122–31.
54. Коротчаева Ю.В., Козловская Н.Л., Бондаренко Т.В., Веселов Г.А. Особенности течения и лечения «акушерского» атипичного гемолитико-уремического синдрома (аГУС). Нефрология. 2015; 19 (2): 76–81. / Korotchaeva Iu.V., Kozlovskaia N.L., Bondarenko T.V., Veselov G.A. Osobennosti techeniia i lecheniia "akusherskogo" atipichnogo gemolitiko-uremicheskogo sindroma (aGUS). Nefrologiia. 2015; 19 (2): 76–81. [in Russian]
55. Ardissino G, Testa S, Possenti I. Discontinuation of eculizumab maintenance treatment for atypical hemolytic uremic syndrome: a report of 10 cases. Am J Kidney Dis 2014; 64: 633–7.
________________________________________________
1. Godara SM, Kute VB, Trivedi HL et al. Clinical profile and outcome of acute kidney injury related to pregnancy in developing countries: a single-center study from India. Saudi J Kidney Dis Transpl 2014; 25: 906–11. DOI: 10.4103/1319-2442.135215
2. Hildebrand AM, Liu K, Shariff SZ et al. Characteristics and outcomes of AKI treated with dialysis during pregnancy and the postpartum period. J Am Soc Nephrol 2015; 26: 3085–91. DOI: 10.1681/ASN.2014100954
3. Patel ML, Sachan R, Radheshyam SP. Acute renal failure in pregnancy: tertiary centre experience from north Indian population. NigerMed J 2013; 54: 191–5. DOI: 10.4103/0300-1652.114586
4. Bentata, Y, Housni B, Mimouni A et al. R. Acute kidney injury related to pregnancy in developing countries: Etiology and risk factors in an intensive care unit. J Nephrol 2012; 25: 764–75. DOI: 10.5301/jn.5000058
5. Nwoko R, Plecas D, Garovic VD. Acute kidney injury in the pregnant patient. Clin Nephrol 2012; 78: 478–86. DOI: 10.5414/CN107323
6. Van Hook JW. Acute kidney injury during pregnancy. Clin Obstet Gynecol 2014; 57: 851–61. DOI: 10.1097/GRF.0000000000000069
7. Gopalakrishnan N, Dhanapriya J, Muthukumar P et al. Acute kidney injury in pregnancy – a single center experience. Ren Fail 2015; 37 (9): 1476–80. DOI: 10.3109/0886022X.2015.1074493
8. Mehta RL, Cerdá J, Burdmann EA et al. International Society of Nephrology's 0by25 initiative for acute kidney injury (zero preventable deaths by 2025): A human rights case for nephrology. Lancet 2015; 385: 2616–43.
9. Macedo E, Mehta RL. Preventing Acute Kidney Injury. Crit Care Clin 2015; 31: 773–84.
10. Perico N, Remuzzi G. Prevention programs for chronic kidney disease in low-income countries. Intern Emerg Med 2016; 11: 385–9.
11. Jim B, Garovic VD. Acute Kidney Injury in Pregnancy. Semin Nephrol 2017; 37: 378–85.
12. Fakhouri F, Deltombe C. Pregnancy-related acute kidney injury in high income countries: Still a critical issue. J Nephrol 2017; 30: 767–71.
13. Ibarra-Hernández M, Orozco-Guillén OA, de la Alcantar-Vallín ML et al. Acute kidney injury in pregnancy and the role of underlying CKD: A point of view from México. J Nephrol 2017; 30: 773–80.
14. Prakash J, Pant P, Prakash S et al. Changing picture of acute kidney injury in pregnancy: Study of 259 cases over a period of 33 years. Indian J Nephrol 2016; 26: 262–7.
15. Ibrahim A, Ahmed MM, Kedir S, Bekele D. Clinical profile and outcome of patients with acute kidney injury requiring dialysis. An experience from a haemodialysis unit in a developing country. BMC Nephrol 2016; 17: 91.
16. Jha V, Chugh KS. Community-acquired acute kidney injury in Asia. Semin Nephrol 2008; 28: 330–47.
17. Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney Int (Suppl.) 2012; 1: 1–126.
18. Shilov E.M., Smirnov A.V., Kozlovskaia N.L. Nefrologiia. Klinicheskie rekomendatsii. M.: GEOTAR-Media, 2016. [in Russian]
19. Machado S, Figueiredo N, Borges A et al. Acute kidney injury in pregnancy: a clinical challenge. J Nephrol 2012; 25 (1): 19–30. https: //doi.org/10.5301/jn.5000013
20. Prokopenko E.I. Ostroe povrezhdenie pochek i beremennost'. Nefrologiia. 2018; 22 (2): 39–49. https: //doi.org/10.24884/1561-6274-2018-22-2-39-49 [in Russian]
21. Ganesan C, Maynard SE. Acute kidney injury in pregnancy: the thrombotic microangiopathies. J Nephol 2011; 24 (5): 554–63. https: //doi.org/10.5301/JN.2011.6250
22. Mehrabadi A, Liu SL, Bartholomew S, Hutcheon JA et al. Hypertensive disorders of pregnancy and the recent increase in obstetric acute renal failure in Canada: population based retrospective cohort study. BMJ 2014; 349: g4731.
23. Lunn MR, Obedin-Maliver J, Hsu CY. Increasing incidence of acute kidney injury: also a problem in pregnancy? Am J Kidney Dis 2015; 65 (5): 650–4. https: //doi.org/10.1053/j.ajkd.2014.11.007
24. Hou S, Peano C. Acute renal failure in pregnancy. Saudi J Kidney Dis Transpl 1998; 9 (3): 261–6.
25. Khanal N, Ahmed E, Akhtar F. Epidemiology, causes and outcome of obstetric acute kidney injury. In: Vijayakumar S, ed. Novel insights on chronic kidney disease, acute kidney injury and polycystic kidney disease. Rijeka, InTech 2012; 67–81.
26. Alsuwaida A. Challenges in diagnosis and treatment of acute kidney injury during pregnancy. Nephrourol Mon 2012; 4 (1): 340–4. https: //doi.org/10.5812/kowsar.22517006.1608
27. Rahman S, Gupta RD, Islam N et al. Pregnancy related acute renal failure in a tertiary care hospital in Bangladesh. J Med 2012; 13: 129–32. https: //doi.org/10.3329/jom.v13i2.12739
28. Prakah J. The kidney in pregnancy: a journey of three decades. Indian J Nephrol 2012; 22: 159–67. https: //doi.org/10.4103/0971-4065.98750
29. Aggarwal RS, Mishra VV, Jasani AF, Gumber M. Acute renal failure in pregnancy: our experience. Saudi J Kidney Dis Transpl 2014; 25 (2): 450–5. PMID: 24626025.
30. Krishna A, Singh R, Prasad N et al. Maternal, fetal and renal outcomes of pregnancy-associated acute kidney injury requiring dialysis. Ind J Nephrol 2015; 25 (2): 77–81. https: //doi.org/10.4103/0971-4065.136890
31. Jeon DS, Kim TH, Lee HH, Byun DW. Acute renal failure during pregnancy. Open J Nephrol 2013; 3: 11–2. https: //doi.org/10.4236/ojneph.2013.31003
32. Prakash J, Pant P, Prakash S et al. Changing picture of acute kidney injury in pregnancy: Study of 259 cases over a period of 33 years. Ind J Nephrol 2016; 26 (4): 262–7. DOI: 10.4103/0971-4065.161018
33. Prakash J, Niwas SS, Parekh A et al. Acute kidney injury in late pregnancy in developing countries. Ren Fail 2010; 32: 309–13.
34. Zhou Y, Fan W, Dong J et al. Establishment of a model to predict the prognosis of pregnancy-related acute kidney injury. Minerva Urol Nefrol 2018; 70 (4): 437–43. DOI: 10.23736/S0393-2249.18.02960-0
35. Sivakumar V, Sivaramakrishna G, Sainaresh VV et al. Pregnancyrelated acute renal failure: A ten-year experience. Saudi J Kidney Dis Transpl 2011; 22: 352–3.
36. Rao S, Jim B. Acute Kidney Injury in Pregnancy: The Changing Landscape for the 21st Century. Kidney Int Rep 2018; 3 (2): 247–57. DOI: 10.1016/j.ekir.2018.01.011
37. Duley L. The global impact of pre-eclampsia and eclampsia. Semin Perinatol 2009; 33: 130–7.
38. Powles K, Gandhi S. Postpartum hypertension. CMAJ 2017; 189: E913.
39. Merkusheva L.I., Kozlovskaia N.L. Porazhenie pochek pri preeklampsii: vzgliad nefrologa (obzor literatury). Nefrologiia. 2018; 22 (2): 30–8. https: //doi.org/10.24884/1561-6274-2018-22-2-30-38 [in Russian]
40. Moran P, Baylis PH, Lindheimer MD, Davison JM. Glomerular ultrafiltration in normal and preeclamptic pregnancy. J Am Soc Nephrol 2003; 14 (3): 648–52.
41. Kuklina EV, Ayala C, Callaghan WM. Hypertensive disorders and severe obstetric morbidity in the United States. Obstet Gynecol 2009; 113: 1299–306.
42. KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations for Diabetes and Chronic Kidney Disease Practice Guideline KDOQI. Am J Kidney Dis 2007. DOI: 10.1053/j.ajkd.2006.12.005
43. Smith MC, Moran P, Ward MK, Davison JM. Assessment of glomerular filtration rate during pregnancy using the MDRD formula. BJOG 2008; 115 (1): 109–12
44. Tsai HM. A Mechanistic Approach to the Diagnosis and Management of Atypical Hemolytic Uremic Syndrome. Transfus Med Rev 2014; 28 (4): 187–97.
45. Fakhouri F, Fremeaux-Bacchi V. Does hemolytic uremic syndrome differ from thrombotic thrombocytopenic purpura. Nat Clin Pract Nephrol 2007; 3: 679–87.
46. Noris M, Remuzzi G. Atypical hemolytic-uremic syndrome. N Engl J Med 2009; 361: 1676–87.
47. Kozlovskaia N.L., Korotchaeva Iu.V., Shifman E.M., Bobrova L.A. Atipichnyi gemolitiko-uremicheskii sindrom kak odna iz prichin ostrogo povrezhdeniia pochek u beremennykh. Therapeutic Archive. 2018; 90 (6): 28–32. doi.org/10.26442/terarkh201890628-34 [in Russian]
48. Kozlovskaya NL, Korotchaeva YV, Bobrova LA. Adverse outcomes in obstetric-atypical haemolytic uraemic syndrome: a case series analysis. J Matern Fetal Neonatal Med 2018: 1–7. DOI: 10.1080/14767058.2018.1450381
49. Fakhouri F, Vercel C, Frémeaux-Bacchi V. Obstetric nephrology: AKI and thrombotic microangiopathies in pregnancy. Clin J Am Soc Nephrol 2012; 7 (12): 2100–6.
50. Huerta A, Arjona E, Portoles J et al. A retrospective study of pregnancy-associated atypical hemolytic uremic syndrome. Kidney Int 2018; 93 (2): 450–9. DOI: 10.1016/j.kint.2017.06.022
51. Korotchaeva Iu.V., Kozlovskaia N.L., Dem'ianova K.A. i dr. Geneticheskie aspekty akusherskogo atipichnogo gemolitiko-uremicheskogo sindroma. Klin. nefrologiia. 2017; 1: 12–7. [in Russian]
52. Prokopenko E.I. Ostroe povrezhdenie pochek i beremennost'. Nefrologiia. 2018; 22 (2): 39–49. https: //doi.org/10.24884/1561-6274-2018-22-2-39-49 [in Russian]
53. American College of Obstetricians and Gynecologists, Task Force on Hypertension in Pregnancy Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists' Task Force on Hypertension in Pregnancy. Obstet Gynecol 2013; 122: 1122–31.
54. Korotchaeva Iu.V., Kozlovskaia N.L., Bondarenko T.V., Veselov G.A. Osobennosti techeniia i lecheniia "akusherskogo" atipichnogo gemolitiko-uremicheskogo sindroma (aGUS). Nefrologiia. 2015; 19 (2): 76–81. [in Russian]
55. Ardissino G, Testa S, Possenti I. Discontinuation of eculizumab maintenance treatment for atypical hemolytic uremic syndrome: a report of 10 cases. Am J Kidney Dis 2014; 64: 633–7.
Авторы
Ю.В.Коротчаева*1, Н.Л.Козловская2
1 ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М.Сеченова» Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2;
2 ГБУЗ «Городская клиническая больница им. А.К.Ерамишанцева» Департамента здравоохранения г. Москвы. 129327, Россия, Москва, ул. Ленская, д. 15
*lumis-j@bk.ru
________________________________________________
Yu.V.Korotchaeva*1, N.L.Kozlovskaya2
1 I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2;
2 A.K.Eramishantsev City Clinical Hospital of the Department of Health of Moscow. 129327, Russian Federation, Moscow, ul. Lenskaya, d. 15
*lumis-j@bk.ru