TITLE

Poststreptococcal acute glomerulonephritis superimposed on bilateral renal hypoplasia

AUTHOR(S)
Naico-Yoshida, Y.; Hida, M.; Maruyama, Y.; Hori, N.; Awazu, M.
PUB. DATE
June 2005
SOURCE
Clinical Nephrology;2005, Vol. 63 Issue 6, p477
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
An 8-year-old girl with preexisting chromic renal failure (CRF) due to bilateral renal hypoplasia presented with edema, gross hematuria and acute deterioration of renal function. The diagnosis of poststreptococcal acute glomerulonephritis (PSAGN) was made based on clinical presentation, red blood cells casts, low level of C3 and elevated antistreptolysin 0 titer. Her course was prolonged with serum creatinine increased from the baseline level of 1.1 mg/dl to 2.2 mg/dl, returning toward the baseline (1.2 mg/dl) after one month. Serum creatinine then started to increase again. The slope of creatinine clearance over time became steeper after the episode pf PSAGN. A severe course of PSAGN and subsequent deterioration of renal function have previously been reported in patients with diabetic nephropathy or focal glomerulosclerosis. The present case along with a literature review suggests that individuals with fewer nephrons are at higher rsik of severe course and outcome of PSAGN. Conversely, patients with severe PSAGN may be born with fewer nephrons due to low birth weight, unrecognized renal hypoplasia or other unknown causes.
ACCESSION #
17207810

 

Related Articles

  • IgA nephropathy presenting with renal failure and pulmonary hemorrhage. Srivaths, Poyyapakkam; Dishop, Megan; Elidemir, Okan; Eldin, Karen; Browne, Lorna; Elenberg, Ewa // Pediatric Nephrology;Mar2010, Vol. 25 Issue 3, p535 

    Pulmonary renal syndromes are unusual, but frequently life-threatening manifestations of a distinct group of disorders in the pediatric age group. Although IgA nephropathy is a common cause of hematuria, it is an extremely rare cause of pulmonary renal syndrome, causing high mortality, and has...

  • Renal function during and after childhood acute poststreptococcal glomerulonephritis. Herthelius, M.; Berg, Ulla // Pediatric Nephrology;1999, Vol. 13 Issue 9, p907 

    It is still debatable whether acute poststreptococcal glomerulonephritis (APSGN) can lead to permanent renal impairment. The clinical, immunological, and histological findings during the acute disease have been described thoroughly, however, the hemodynamic events are still poorly understood. In...

  • Chronic renal failure in Sudanese children: aetiology and outcomes. Ali, El-Tigani; Abdelraheem, Mohamed; Mohamed, Reem; Hassan, Einas; Watson, Alan // Pediatric Nephrology;Feb2009, Vol. 24 Issue 2, p349 

    The provision of tertiary paediatric nephrology facilities has led to increasing referrals of children with chronic renal failure (CRF). We report the aetiology and outcomes over 5 years, during which period the improving socio-economic situation has allowed increasing provision of dialysis and...

  • Idiopathic immunoglobulin A nephropathy in children and adolescents. Hogg, Ronald // Pediatric Nephrology;May2010, Vol. 25 Issue 5, p823 

    Immunoglobulin A nephropathy is now recognized as the glomerular disease most often associated with progressive renal failure in patients around the world. In many cases it is not known when the disease starts to inflict glomerular injury, but recent studies that have shown genetically...

  • End-stage renal disease of the Tunisian child: epidemiology, etiologies, and outcome. Kamoun, Ayoub; Lakhoua, Rachid // Pediatric Nephrology;1996, Vol. 10 Issue 4, p479 

    From December 1989 to December 1993, 90 children under 15 years were admitted to our department for end-stage renal disease; 9 children were less than 5 years and 28 were aged between 5 and 10 years. The sex ratio (M/F) of the children was 2.1. The estimated incidence of pediatric end-stage...

  • The 1998 report of the Japanese National Registry data on pediatric end-stage renal disease patients. Hattori, S.; Yosioka, Kazuo; Honda, Masataka; Ito, Hiroshi // Pediatric Nephrology;Jun2002, Vol. 17 Issue 6, p456 

    We carried out a nationwide survey on patients less than 20 years of age with pediatric chronic end-stage renal disease (ESRD) in Japan for the year 1998. There were 582 patients who had started on renal replacement therapy before 1998, and 105 patients who had been newly introduced to renal...

  • Sources of information on renal conditions used by families. Cargill, Alison; Watson, Alan R. // Pediatric Nephrology;Aug2002, Vol. 17 Issue 8, p648 

    Information for families on their child's renal condition is an essential part of clinical care and our unit has produced a number of booklets and audiovisual materials. We wished to evaluate whether our information strategy needed to be updated, especially with the increasing use of the...

  • Chronic renal failure in pediatrics 1996: Chilean survey. Lagomarsimo, E.; Valenzuela, Anita; Cavagnaro, Felipe; Solar, Eric // Pediatric Nephrology;1999, Vol. 13 Issue 4, p288 

    The Nephrology Branch of the Chilean Pediatric Society has greatly influenced the development of government health plans regarding the management and care of patients under 18 years with chronic renal failure (CRF). In order to assess the status of children with CRF in Chile up to 1996, a...

  • A clinico-pathologic study of crescentic glomerulonephritis in 50 children. A report of the Southwest Pediatric Nephrology Study Group1.  // Kidney International;Feb1985, Vol. 27 Issue 2, p450 

    In this study, we have evaluated 50 children (30 girls and 20 boys; mean age, 10.1 years) with a variety of renal diseases in whom renal biopsy specimens showed crescents in s 50% of glomeruli. Initial clinical features included edema in 61%; hypertension in 51%; gross hematuria in 73%; 3 to 4+...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics