An Overview of Renal Diseases in Children in Pokhara.
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Date
2007-07
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Abstract
Objective: To determine the current pattern and prevalence of renal diseases in childhood in this region of Nepal.
Material and Methods: A retrospective study of the renal diseases in children attending the Pediatric OPD and
those hospitalised in Manipal Teaching Hospital, Pokhara was done over a period of 6 years (September 2000-
September 2006). A detailed clinical and laboratory evaluation was performed at baseline. The children were
managed according to disease diagnosed. These cases are under follow up and some have undergone surgical
treatment. Results: 228 children (123 boys & 105girls) were diagnosed to have renal disease. Among them 39.5%
had urinary tract infection (UTI), 30.7 % were suffering from acute glomerulonephritis (AGN), 17.5% were cases
of nephrotic syndrome (NS) and 12 % had some other problems for example, 6.14% had genetic defects, 2.63%
had renal Stone, 2.2% had pre-renal acute renal failure, unexplained recurrent hematuria in 1.3%. All the cases of
UTI underwent through investigation and were treated accordingly. All cases of AGN are planned for follow up
for 1½ yrs and among them 3 required biopsy till date. All cases of NS are under regular follow-ups and 2 have
undergone biopsy. Renal stone was operated successfully. All cases of acute and chronic renal failures had required
dialysis. Out of 5 (2.5%) chronic renal failures, 2 with end stage renal disease expired after repeated hemodialysis
and three are still requiring dialysis. Among the obstructive uropathies, 43 % had renal stone, 36 % had posterior
urethral valve and 21% VUR. Conclusion: It can be concluded that renal disease is not uncommon in children. It
can be completely cured with proper and adequate treatment. Sometimes it has a bad prognosis when it reaches
end stage renal disease. Early recognition, timely treatment and regular follow up are mandatory in management
of children with renal diseases.
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Keywords
Renal disease pattern, UTI, AGN, NS, Obstructive Uropathy, Renal failure
Citation
Malla T, Malla K K, Thapalial A, Sharma M S. An Overview of Renal Diseases in Children in Pokhara. Journal of Nepal Paediatric Society. 2007 Jul-Dec; 27(2): 75-78.