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Beta HCG levels in a pregnant dialysis patient: a cautionary tale
Kavitha Potluri1, Julie Moldenhauer2, Roberta Karlman3
1Loyola University Medical Center , Dept of Nephrology and Hypertension, Maywood, IL , USA.
Abstract:
Conception is rare in patients on chronic dialysis and diagnosis is often delayed as it is least expected. Serum beta HCG levels are elevated in both pregnant and non-pregnant dialysis patients, and pregnant dialysis patients have slightly higher beta HCG levels when compared with normal pregnancy. This can be erroneously interpreted as non-viable pregnancy and so results should be viewed with caution. Serial beta HCG levels must be followed when non-viable pregnancy is suspected in a dialysis patient before contemplating termination of pregnancy as described in our case.
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