To investigate the correlation between chronic kidney disease (CKD) and the development of neurological disease among pediatric patients in Saudi Arabia. The present retrospective study recruited patients admitted to King Abdulaziz University Hospital during 2018. We reviewed electronic records to collect data on essential demographics including age, gender, and nationality; history of prior CNS disease or related symptoms; results of neurological physical examination; and findings of radiological investigations such as abdominal ultrasound, dimercaptosuccinic acid scan, micturating cystourethrogram, diethylene triamine pentaacetic acid scan, brain computed tomography, and magnetic resonance imaging. The most commonly diagnosed renal pathologies were neurogenic bladder and cystic kidney disease. The most common neurological manifestation was seizure disorder. Males were more frequently affected with neurological sequelae than females. The prevalence of neurological disorders was higher in patients over two years old. The most frequently observed stage of chronic kidney disease was stage 5. Most children who were affected with a neurological disorder required hemodialysis as part of their management plan. Patients with chronic kidney disease are at a high risk of neurocognitive defects. The type of management and renal diagnosis are significant factors that should be considered when anticipating central nervous system involvement in the case of chronic kidney disease.

SCD develops when haemoglobin (HbS) is produced in the body as a result of a mutation occurring in haemoglobin beta chain. SLE is defined as a rare, chronic autoimmune multi-organ manifestation. SCD and SLE rarely coincide in literature due to the limited number of cases and the overlapping of symptoms of both diseases. Majority affecting child bearing age, with a mean of 23-year-old. Articular manifestations like joint pain are common in both diseases. We report a case of female adolescent with sickle cell disease associated with systemic lupus erythematous.

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