Multicystic dysplastic kidney: A retrospective study.

Autor: Sharada, Sathish, Vijayakumar, Mahalingam, Nageswaran, Prahlad, Ekambaram, Sudha, Udani, Amish
Předmět:
Zdroj: Indian Pediatrics; Aug2014, Vol. 51 Issue 8, p641-643, 3p
Abstrakt: Objective: To report the renal structural and functional anomalies in children with multicystic dysplastic kidneys. Methods: Retrospective descriptive analysis of 47 children with multicystic dysplastic kidney seen in a pediatric nephrology unit over a period of 6 years. Results: Antenatal diagnosis of multicystic dysplastic kidney was made in 34 (72.3%) patients. On follow up of 31 children for more than 12 months, 21 (68%) had involution, 4 [13%] had non-regression, and 4 (13%) were nephrectomized. Vesico-ureteric reflux ( n=13; 28%) was the commonest renal abnormality. The serum creatinine values were higher ( P=0.006) in children with contralateral reflux. Sub-nephrotic proteinuria was noted in 9 (29%) and was significantly associated with complete involution ( P=<0.023). None of the patients developed hypertension and 2 (6.4%) had renal failure. Conclusion: Close nephrological follow-up is needed in children with multicystic dysplasia of kidneys. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index