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A Report of Two Cases

Anton C. Schoolwerth, MD; Richard S. Sandler, MD; Saulo Klahr, MD; John M. Kissane, MD

Arch Intern Med. 1976;136(2):178-185.

Abstract
The condition of a patient with postpartum nephrosclerosis improved during heparin therapy. Review of the literature disclosed 29 other patients with the same histopathologic characteristics, eight of whom also recovered substantial renal function after anticoagulant therapy. Also reported is a patient in whom renal failure occurred while she was taking oral anovulatory agents. Renal biopsy specimen showed the same histopathologic features, which raises the question of similar factors mediating the expression of this disease. We suggest a uniform terminology for this syndrome, either postpartum nephrosclerosis or nephrosclerosis in women taking oral contraceptives.

(Arch Intern Med 136:178-185, 1976)

Author Affiliations
From the departments of internal medicine and pathology, Washington University School of Medicine, St Louis.

Footnotes
Received for publication June 28, 1975; accepted Aug 25.

Reprint requests to Department of Internal Medicine, Washington University School of Medicine, 4550 Scott Ave, St Louis, MO 63110 (Dr Klahr).

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