Question of the month (February 2000)
Considering that many cases of pregnancy hypertension while beiing followed as outpatients and under adequate medical supervision and management may after several days or weeks begin showing proteinuria >0.300 g/L/24 hrs �should we then change the diagnosis to pre-eclampsia?
Conversely, since many pre-eclampsia cases needing hospitalization, due among other things, to the presence of proteinuria >0.300 mg/L/24 hrs, but after adequate bed rest and comprehensive medical management, some of these patients will show only traces of albuminuria, �should we then change the diagnosis to PIH ?
Considering that some cases of mild pre-eclampsia with minimal proteinuria and not too impressive hypertension, to the point of being better considered as PIH, already show the lesion named glomerular endotheliosis in kidney biopsy material, �are these glomerular lesions common to both diagnosis and if so where is the difference?
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