20 January 2026
: Case report 
Clinical Course and Considerations of a Stage G4 Chronic Kidney Disease Patient Who Successfully Initiated Dialysis During Pregnancy and Discontinued It Postpartum
Unusual clinical course, Unusual setting of medical care
Maki Okamoto ADEF 1, Taisuke Shimizu AB 1, Mariko Sato B 1, Sachi Kijima B 2, Sumiko Era B 2, Takatsugu Iwashita C 1, Akihiko Kikuchi B 2, Yasushi Takai
B 3, Akito Maeshima A 1, Hajime Hasegawa A 1, Tomonari Ogawa AF 1*
DOI: 10.12659/AJCR.949709
Am J Case Rep 2026; 27:e949709
Table 1 Laboratory test of blood and urine (20w, 2d).
| Peripheral blood | Blood chemistry | Urinalysis | |||
|---|---|---|---|---|---|
| WBC | 9900/μL | Alb | 3.1 g/dL | Specific gravity | 1.005 |
| RBC | 299×10/μL | AST | 8 U/L | pH | 6.5 |
| Hb | 9.1 g/dL | ALT | 7 U/L | Sugar | (−) |
| Ht | 27.4% | BUN | 31 mg/dL | Proteinuria | (1+) |
| MCV | 91.6 fl | Cr | 1.60 mg/dL | Occult blood | (2+) |
| MCH | 0.4 pg | eGFR | 29.5 mL/min/1.73 m | Ketone | (−) |
| MCHC | 33.2 g/dL | UA | 8.6 mg/dL | Sediment RBC | 5–9/HPF |
| Plt | 239×10/μL | Na | 136 mEq/L | Sediment WBC | Over 100/HPF |
| Cl | 106 mEq/L | Proteinuria | 0.36 g/gCr | ||
| K | 4.6 mEq/L | ||||
| Ca | 8.9 mg/dL | ||||
| P | 4.7 mg/dL | ||||
| Mg | 2.1 mg/dL | ||||
| CRP | 0.15 mg/dL | ||||
| WBC – white blood cells; RBC – red blood cells; Hb – hemoglobin; Ht – hematocrit; MCV – mean corpuscular volume; MCH – mean corpuscular hemoglobin; MCHC – mean corpuscular hemoglobin concentration; Plt – platelet count; Alb – albumin; AST – aspartate aminotransferase; ALT – alanine aminotransferase; BUN – urea nitrogen; Cr – creatinine; eGFR – estimated glomerular filtration rate; UA – uric acid; Na – sodium; Cl – chloride; K – potassium; Ca – calcium; P – phosphorus; Mg – magnesium; CRP – c-reactive protein. | |||||