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In our case, serum creatinine did not exceed 6 mg% and oliguria was absent. Hyperuricaemia in this case is in keeping with the diagnosis of AFL where characteristically pleasantly plump hyperuricaemia is disporportionally increased in comparison with renal dysfunction [9]. The high mortality seen in AFL is due to liver failure, as was the case in our patient. AFL is observed in primigravidae in 28–39 weeks of pregnancy pleasantly plump and is rarely seen postpartum. When the women survive, this syndrome does not reappear in subsequent pregnancies [10]. AFL does not produce renal lesions and structurally the kidney is usually within pleasantly plump normal limits. However, in some cases ‘focal lesions’ of acute tubular necrosis have been observed [3]. Some authors have reported ‘glomerular lesions’ and even ‘intraglomerular thrombosis’ [1].
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