Background <p>The pattern of childhood kidney disease is variable and differs from one region to another. We aimed to identify the clinical profile of children attending the pediatric nephrology outpatient clinic. A cross section descriptive retrospective study was conducted including analysis of 365 patients’ files attended nephrology outpatient clinic over a period of 6&#xa0;months.</p> Results <p>235 (64.4%) were males and 130 (35.6%) were females. Their mean age was 7 ± 3.6&#xa0;years. 357 (97.8%) had isolated kidney disease and 8 (2.2%) had kidney involvement in systemic diseases. The commonest diseases in children with isolated kidney disease, were glomerular diseases (134 patients, 36.7%), followed by congenital anomalies of the kidney and urinary tract (CAKUT) (111 patients, 30.4%). Anemia was reported in 223 (61.1%) patients. Hypertension was reported in 175 (47.9%) patients while 156 (42.7%) patients had growth impairment. Patients with CAKUT had significantly higher incidence of anemia and growth impairment.</p> Conclusions <p>Among the study population, glomerular diseases and CAKUT were the commonest causes of kidney diseases. CAKUT are commonly associated with anemia and growth impairment. Close follow up of blood pressure, growth parameters and hemoglobin level is recommended with advanced stages of chronic kidney disease.</p>

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Clinical profile of children attending the pediatric nephrology outpatient clinic: a cross section study

  • Shaimaa Sayed,
  • Manal Elsayed,
  • Esraa N Mohamed,
  • Nevian Nabil

摘要

Background

The pattern of childhood kidney disease is variable and differs from one region to another. We aimed to identify the clinical profile of children attending the pediatric nephrology outpatient clinic. A cross section descriptive retrospective study was conducted including analysis of 365 patients’ files attended nephrology outpatient clinic over a period of 6 months.

Results

235 (64.4%) were males and 130 (35.6%) were females. Their mean age was 7 ± 3.6 years. 357 (97.8%) had isolated kidney disease and 8 (2.2%) had kidney involvement in systemic diseases. The commonest diseases in children with isolated kidney disease, were glomerular diseases (134 patients, 36.7%), followed by congenital anomalies of the kidney and urinary tract (CAKUT) (111 patients, 30.4%). Anemia was reported in 223 (61.1%) patients. Hypertension was reported in 175 (47.9%) patients while 156 (42.7%) patients had growth impairment. Patients with CAKUT had significantly higher incidence of anemia and growth impairment.

Conclusions

Among the study population, glomerular diseases and CAKUT were the commonest causes of kidney diseases. CAKUT are commonly associated with anemia and growth impairment. Close follow up of blood pressure, growth parameters and hemoglobin level is recommended with advanced stages of chronic kidney disease.