Case Reports1 July 1950ACUTE INTRAVASCULAR HEMOLYSIS AND LOWER NEPHRON NEPHROSIS COMPLICATING ECLAMPSIAR. W. KISTNER, M.D., N. S. ASSALI, M.D.R. W. KISTNER, M.D.Search for more papers by this author, N. S. ASSALI, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-33-1-221 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMassive intravascular hemolysis with consequent hemoglobinemia, hemoglobinuria and renal failure is a rare complication of convulsive eclampsia. Dieckmann1 mentioned hemoglobinuria briefly. Young2 stated that cases of hemoglobinuria and eclampsia in which yellow pigment was observed in the collecting tubules have been reported in the German literature by Schmorl, Brütt and Schumm and others. These authors also gave a description of the renal failure associated with intravascular hemolysis. This hemolysis was attributed by them to the "poison" present in the patient's blood at the acme of the eclamptic attack.Terplan and Javert3and Licciardello and Stanbury4noted acute hemolytic anemia following...Bibliography1. Dieckmann WJ: The toxemias of pregnancy, 1941, C. V. Mosby & Co., St. Louis, p. 166. Google Scholar2. YoungMcMichael JJ (a) : "Crush syndrome" in obstetrics, British M. J. 2: 887, 1941. (b) Young, J.: Renal failure after utero-placental damage, British M. J. 2: 715-718, 1942. CrossrefGoogle Scholar3. TerplanJavert KLCT: Fatal hemoglobinuria with uremia from quinine in early pregnancy, J. A. M. A. 106: 529-532, 1936. CrossrefGoogle Scholar4. LicciardelloStanbury ATJB: Acute hemolytic anemia from quinine used as an abortifacient, New England J. Med. 238: 120-121, 1948. CrossrefMedlineGoogle Scholar5. Bratton AB: Anuria with casts, Lancet 1: 345-346, 1941. CrossrefGoogle Scholar6. PaxsonGolubHunter NFLJRM: The crush syndrome in obstetrics and gynecology, J. A. M. A. 131: 500-504, 1946. CrossrefMedlineGoogle Scholar7. BurwellKinneyFinch ELTDCA: Renal damage following intravascular hemolysis, New England J. Med. 237: 657-665, 1947. CrossrefMedlineGoogle Scholar8. Lucké B: Lower nephron nephrosis, Mil. Surg. 99: 371-396, 1946. CrossrefMedlineGoogle Scholar9. Thorn GW: Treatment of renal insufficiency, J. Urol. 59: 119-148, 1948. CrossrefMedlineGoogle Scholar10. MuirheadHill EEJM: The treatment of acute renal insufficiency, Surg., Gynec. and Obst. 87: 445-455, 1948. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Cincinnati, Ohio*Received for publication November 27, 1948.From the Department of Obstetrics, University of Cincinnati College of Medicine and the Cincinnati General Hospital. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byEarly risk assessment of severe preeclampsia: Admission battery of symptoms and laboratory tests to predict likelihood of subsequent significant maternal morbidityHELLP syndrome - a syndrome of hemolysis, elevated liver enzymes and low platelet count - complicating preeclampsia-eclampsiaErythrocyte morphology in women with severe preeclampsia and eclampsiaAbnormal platelet function in pre-eclampsiaABNORMAL PLATELET FUNCTION IN PRE-ECLAMPSIAThe Haemostatic Mechanisms in Pre-eclampsiaCoagulation changes in eclampsia: Their frequency and pathogenesisHematologic assays in pre-eclampsiaCoagulation studies in the hypertensive toxemias of pregnancyReferenceA case of acquired haemolytic anaemia during the early puerperiumHEPARIN TREATMENT OF HAEMOLYSIS AND THROMBOCYTOPENIA IN PRE-ECLAMPSIA. Report of a Case and a Review of the LiteratureCLASSICAL ECLAMPSIA WITH ACUTE INTRAVASCULAR HÆMOLYSISEclampsia with Subsequent Massive Intravascular Haemolysis and AnuriaACUTE SUPPRESSION OF URINE AND LIVER FAILURE ACCOMPANYING ECLAMPSIAMALIGNANT HYPERTENSION SUPERVENING RAPIDLY ON PRE-ECLAMPSIAIntravascular Hemolysis, Thrombocytopenia and Other Hematologic Abnormalities Associated with Severe Toxemia of PregnancyAcute Intravascular Hemolysis, Lower Nephron Nephrosis, and Acute Anterior Pituitary Necrosis Complicating a Case of Severe Pre-Eclampsia 1 July 1950Volume 33, Issue 1Page: 221-227KeywordsBloodEclampsiaHemoglobinHemolytic anemiaHospital medicineNephronsObstetrics and gynecologyRenal failure ePublished: 1 December 2008 Issue Published: 1 July 1950 PDF downloadLoading ...