NEPHROPATHY IN A CHILD SUFFERING FROM TETRALOGY OF FALLOT

Autor:	Sujata Kanhere, Vrushank Santosh Naik, Varsha Phadke
Rok vydání:	2020
Předmět:	Pediatrics medicine.medical_specialty Creatinine Proteinuria business.industry Renal function Cardiorenal syndrome medicine.disease Nephropathy chemistry.chemical_compound chemistry medicine Hypoalbuminemia medicine.symptom business Tetralogy of Fallot Kidney disease
Zdroj:	Indian Journal of Case Reports. :312-313
ISSN:	2454-1303 2454-129X
DOI:	10.32677/ijcr.2020.v06.i06.009
Popis:	Cyanotic nephropathy is a type of renal impairment, occurring due to chronic exposure to hypoxia, seen in unoperated cases of cyanotic congenital heart diseases (CCHDs). Due to a paucity of the literature and lack of general awareness of this condition, many times, the occurrence of this nephropathy is left untreated, leading to chronic kidney disease (CKD). The mortality rate is 51% in children who suffer from CCHD with CKD. Here, we report a case of an 11-year-old male child with tetralogy of Fallot (unoperated), requiring repeated admissions for breathlessness. An incidental finding of proteinuria on multiple admission was further investigated. The patient had hemoconcentration with deranged renal function tests, [hypoalbuminemia (2.2 gm/dl), serum creatinine 3.4 mg/dl, eGfR 16.28, and urine protein:creatinine ratio 3.95]. USG KUB done reported a bilateral medicorenal disease with a complete loss of corticomedullary differentiation. The patient already had Stage IV CKD at the time of presentation and expired 8 months after diagnosis.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::72c6c55d369d24cfb688a3c30eebe54d https://doi.org/10.32677/ijcr.2020.v06.i06.009 Zobrazit plný text záznamu