Chronic kidney disease (CKD) in children is a condition characterized by a broad spectrum of severity. 1 Deterioration in kidney function is accompanied by physical, nutrition, cognitive and social deficits, and treatment becomes progressively more complex and difficult over time. The deleterious effects on health increase with disease severity, impairing quality of life. [2][3][4] Renal transplantation is associated with significant improvement in cognitive functions, social and emotional well-being, and better linear growth in children. [4][5][6][7][8] Growth deficit in children with CKD is one of the more serious, prevalent, and hard-to-reverse consequences. The severity of growth deficit is related to age at disease diagnosis and is more severe in patients with hereditary CKD. [9][10][11] In most cases, short stature fails to improve with dialytic treatment, 12,13 whereas kidney