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The most common causes of PrAKI include preeclampsia\/eclampsia, haemorrhage and infection. Diagnosis is influenced by gestational age and individual risk factors. Alongside traditional investigations such as imaging and kidney biopsy, novel diagnostics and biomarkers may provide valuable insights for differential diagnosis. This review aims to offer an update on the diagnostic approaches and investigational tools for PrAKI, while also addressing current challenges in the diagnostic paradigm and presenting recommendations for clinical practice and future research.<\/jats:p>","DOI":"10.1093\/ndt\/gfaf226","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T15:13:22Z","timestamp":1761578002000},"page":"636-648","source":"Crossref","is-referenced-by-count":4,"title":["Diagnosis, diagnostic approach and challenges in pregnancy-associated AKI\u2014the ADQI 32 consensus meeting"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1506-4253","authenticated-orcid":false,"given":"Nuttha","family":"Lumlertgul","sequence":"first","affiliation":[{"name":"King Chulalongkorn Memorial Hospital Excellence Centre for Critical Care Nephrology, Division of Nephrology, Department of Medicine, , Bangkok ,","place":["Thailand"]},{"name":"Centre of Excellence 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