Chronic Kidney Disease in Children: An Indian Perspective

Kanitkar, Madhuri

doi:10.1016/s0377-1237(09)80055-5

Cited by 14 publications

(6 citation statements)

References 18 publications

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“…It is an important cause of morbidity and mortality in children worldwide. Congenital disorders, including congenital anomalies of the kidney and urinary tract and hereditary nephropathies, are responsible for about two thirds of all cases of CKD in developed countries, while acquired causes predominate in developing countries [10][11][12].…”

Section: Resultsmentioning

confidence: 99%

Magnitude and clinico-etiological profileof renal disorders in children – a retrospective study in tertiary care hospital

Maheswari

Manikandasamy

et al. 2017

Int J Pediatr Res

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Objectives: This study was undertaken to know about the magnitude, clinical spectrum and etiologyof renal diseases in children in a tertiary care teaching hospital.Materials and Methods: Thisis a hospital based, retrospective, descriptive study, done on children with renaldiseases admitted to pediatric department of Velammal Medical College, Madurai from Jan 2016-Dec 2016. Results: Renal disorders are contributing to 4.6% of total admissions. Males (61.1%%), outnumbered, females (38.9%) in our study. Children less than 5 years of age were most commonly affected (47%). Most common symptom in children with renal disorders were burning micturition/increased frequency/urgency(36.4%), fever (29.4%), decreased urine output (28.4%), abdomen distension (25.4%), pain abdomen (18.4%), vomiting (17.6%), red/cola coloured urine (11.6%). The most common sign observed wasperi-orbital puffiness (22.3%), pedal edema and ascitis in (18.8%) each, tachypnea in (10.5%) of children. The most common etiologyof renal disorders was UTI (36.4%), PUJ obstruction (18.8%), Nephrotic syndrome in (16.4%), and renal calculi (14.1%). Conclusion: Our present study has revealed that, the magnitude of childhood renal disorders is in the increasing trend, associated with wide clinical spectrum and predominance of infective etiology. Emphasis is therefore placed on high index of suspicion for atypical presentation of renal disorders andpreventing progression to chronicity.

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Section: Resultsmentioning

confidence: 99%

Magnitude and clinico-etiological profileof renal disorders in children – a retrospective study in tertiary care hospital

Maheswari

Manikandasamy

et al. 2017

Int J Pediatr Res

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“…Chronic kidney disease in children is an under-recognized entity with a reported prevalence of 50-60 per million, with a high prevalence of short stature and hypertension with end-organ damage [ 12 ]. Kanitkar et al reported the scarcity of data about pediatric chronic kidney disease from India, with long latencies before diagnosis and a higher degree of progressive disease at the time of diagnosis [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Sudden-Onset Blindness in a Child With Hypertensive Emergency: Unmasking of Chronic Kidney Disease

Chakraborty¹,

Bhattacharya²,

Kanwar³

2022

Cureus

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A 10-year-old male presented with sudden-onset diminution of vision in both eyes. On systemic examination, he had severe hypertension, no pulse deficit, short stature, and no other focal neurological deficit. Dilated fundoscopy showed bilateral grade 4 hypertensive retinopathy with macular star formation. Detailed laboratory investigations revealed a stage 5 chronic kidney disease (CKD). We present this case to highlight this rare ocular manifestation of CKD in pediatric age group.

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“…It is an important cause of morbidity and mortality of children worldwide. 8 Proteinuria, an early marker of kidney damage, is an important independent risk factor for kidney disease progression. 9 Majority of the children with CKD present at end stage renal disease.…”

Section: Discussionmentioning

confidence: 99%

Proteinuria among school children aged 8-16 years in rural area of Karnataka

Varalakshmi¹,

S²

2021

IJPO

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Chronic kidney disease (CKD) in children is a devastating illness, and the mortality rate of the children is high and majority of them present at the later stages of disease. Early diagnosis of renal diseases with effective preventive and interventional strategies will help in reducing the burden of the disease. Urine protein estimation is one of the simplest, least expensive method to detect urinary abnormalities which may suggest the presence of renal disease. Presence of proteins in urine is termed proteinuria and its presence for more than 3 occasions is termed persistent proteinuria(PP). The present study is a cross-sectional one and was planned to determine prevalence of persistent proteinuria in 500 healthy school children aged between 8-16 years. Out of 500 students, proteinuria was positive in 4.4% of the students in the first visit and persistent in 2.4%. Proteinuria was positive and persistent in 1.8% of girls and 0.6% of boys. Proteinuria is an early marker of kidney disease. It is important to identify these cases to detect renal disease if any so that remedial steps can be taken to prevent the associated morbidity. Children with persistent proteinuria should be subjected to follow-up and further workup to identify the cause.

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Chronic Kidney Disease in Children: An Indian Perspective

Cited by 14 publications

References 18 publications

Magnitude and clinico-etiological profileof renal disorders in children – a retrospective study in tertiary care hospital

Magnitude and clinico-etiological profileof renal disorders in children – a retrospective study in tertiary care hospital

Sudden-Onset Blindness in a Child With Hypertensive Emergency: Unmasking of Chronic Kidney Disease

Proteinuria among school children aged 8-16 years in rural area of Karnataka

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