Piccoli Giorgina Barbara, Cabiddu Gianfranca
Department of Clinical and Biological Sciences, University of Torino, Turin, Italy.
Nephrologie, Centre Hospitalier Le Mans, Avenue Roubillard, 72000, Le Mans, France.
J Nephrol. 2017 Jun;30(3):303-305. doi: 10.1007/s40620-017-0399-5. Epub 2017 Apr 22.
The Webster dictionary defines exception as an anomaly, a person or thing that does not follow a rule, while the adjective exceptional has a different nuance, and means "above average". These two words may describe how obstetric nephrology has shifted from the description of very rare cases, to the development of a complex new and fascinating branch of medicine, that counterbalances obstetricians' usually optimistic outlook by focusing on subtle challenges posed by chronic diseases, and mitigate the frequently grim approach of nephrologists, with a message of hope: women with kidney disease can have the same basic life goals as healthy women their age. Although studies relating to kidney disease in pregnancy are being published more frequently, not all questions have been considered or answered, and clinicians are often challenged by a lack of detailed information and practical guidelines. Thus in this complex, difficult, but also fascinating and evolving panorama, the Journal of Nephrology is publishing a issue dedicated to obstetric nephrology, in an attempt to contribute to the development of this field, with the specific aim of offering practical insights and critical contributions capable of helping clinicians in the management of these "exceptional exceptions".
韦氏词典将“exception”定义为异常情况，即不遵循规则的人或事物，而形容词“exceptional”则有不同的细微差别，意为“高于平均水平”。这两个词或许可以描述产科肾脏病学是如何从对极为罕见病例的描述，发展成为一个复杂、崭新且引人入胜的医学分支的。该分支通过关注慢性病带来的细微挑战，平衡了产科医生通常乐观的观点，并以希望的信息缓解了肾脏病医生常常严峻的态度：患有肾脏疾病的女性可以拥有与同龄健康女性相同的基本生活目标。尽管关于妊娠期肾脏疾病的研究发表得越来越频繁，但并非所有问题都已得到考虑或解答，临床医生常常因缺乏详细信息和实用指南而面临挑战。因此，在这个复杂、艰难但又引人入胜且不断发展的全景中，《肾脏病杂志》正在出版一期关于产科肾脏病学的专刊，试图为该领域的发展做出贡献，具体目标是提供实用见解和批判性贡献，以帮助临床医生管理这些“特殊的例外情况”。
