Literature suggests cutoff for Pre-eclampsia being 0.3 gm/24hrs while it is more 0.5gm/24 hrs for Chronic hypertension with superimposed with pre-eclampsia . Any justifications?
Cut off value for pre-eclampia superimposed with chronic hypertension is 0.5g/24 day , is due to hypertensive nephropathy superimposed with pre-eclampia will lead to more protein loss in urine as compared to pre eclampsia alone ,so cut off value will be high for chronic hypertension with pre eclampsia
This is a difference that is not a difference. There is no true diagnostic assay to distinguish the two possibilities. Whatever name you choose, there is no therapy except immediate delivery of the baby if the hypertension becomes life threatening or if the mother experiences seizures. Do you want to count the number of angels on the tip of a needle?
Superimposed preeclampsia is preeclampsia complicating hypertension of another cause, most commonly chronic or "essential" hypertension. However women with hypertension associated with diabetes, pre-existing autoimmune disorders like lupus erythematous, and chronic kidney disease also have an increased chance of developing superimposed preeclampsia. The hypertensive complications of pregnancy are divided into four distinct classifications: Preeclampsia/eclampsia, Chronic hypertension, preeclampsia superimposed on chronic hypertension, and gestational hypertension.
If a patient with chronic hypertension with proteinuria due to hypertensive nephropathy there will high cut off value to define proteinuria with eclampsia