Successful pregnancy after scleroderma hypertensive renal crisis

A patient with scleroderma and a history of hypertensive renal crisis who had been withdrawn from converting enzyme inhibitors became pregnant and delivered a healthy child without a flare of the hypertensive renal failure. Though no broad implications can be made from a single case report, it is clear that a history of hypertensive renal crisis is not an absolute contraindication to pregnancy.