[Chronic renal insufficiency in 22 children: diagnosis and evolution].
Clinical characteristics, evolution of growth, and glomerular rate were analysed in 22 patients, younger than 14 years, with chronic renal failure (glomerular filtration rate: 32.6 +/- 24.8 ml/min/1.73 m2, x +/- DS) with a minimal follow-up of 6 months (3.5 +/- 3.3 years). Recurrent urinary tract infections were the most common initial clinical features (27%) and obstructive uropathies constituted the most frequent etiology (41%). Renal failure progression rate, which was assessed by means of 1 to serum creatinine concentration ratio, was faster in the group of children with glomerulonephropaties. At the diagnosis, one out of 3 children had short stature. At the end of the follow-up time, the delay of growth did not significatively modified (-1.6 +/- 2.2 DS versus -2.1 +/- 1.2 DS, p greater than 0.05).
Riaño Galán
I
I
Departamento de Pediatría, Hospital Materno-Infantil de la Seguridad Social, Nuestra Señora de Covadonga, Facultad de Medicina, Oviedo.
Rey Galán
C
C
Del Molino Anta
A
A
Santos Rodríguez
F
F
Malaga Guerrero
S
S
Crespo Hernández
M
M
D002648:Child; D002675:Child, Preschool; D003404:Creatinine / Q000097:blood; D005260:Female; D005500:Follow-Up Studies; D005919:Glomerular Filtration Rate; D005921:Glomerulonephritis / Q000097:blood / Q000150:complications / Q000175:diagnosis; D006130:Growth Disorders / Q000150:complications / Q000209:etiology; D006801:Humans; D007223:Infant; D007676:Kidney Failure, Chronic / Q000097:blood / Q000175:diagnosis* / Q000209:etiology; D008297:Male
D003404:Creatinine
Insuficiencia renal crónica en 22 niños: diagnóstico y evolución.