title: [Reflux nephropathy in absence of obvious vesicoureteral reflux].
abstract: Although the majority of patients with vesicoureteric reflux presents DMSA scan alterations, parenchimal renal scars are found also in children without vesicoureteric reflux. Two clinical cases of reflux nephropathy without evidence of reflux are presented. Several explanations could be advocated to justify this picture, including haematogenous source of infection, inadequate timing and/or procedure of cystouretrography, intermittency of reflux, ascending bacteria, previous presence of reflux, and appearance of controlateral reflux during the natural history of a monolateral documented reflux. Tailored diagnostic and therapeutic strategy should discussed for each patient.
authors.affiliation: Clinica Pediatrica, Università di Verona, Italia.
authors.forename: L
authors.initials: L
authors.lastname: Vino
authors.forename: A
authors.initials: A
authors.lastname: Pedrolli
authors.forename: A
authors.initials: A
authors.lastname: Portuese
authors.forename: M
authors.initials: M
authors.lastname: Dal Cerè
authors.forename: C
authors.initials: C
authors.lastname: Pizzini
authors.forename: G
authors.initials: G
authors.lastname: Sinaguglia
authors.forename: V
authors.initials: V
authors.lastname: Fanos
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology*; D008297:Male; D014718:Vesico-Ureteral Reflux