Multicystic dysplastic kidney: a retrospective study.
Ключавыя словы
Рэферат
OBJECTIVE
To report the renal structural and functional anomalies in children with multicystic dysplastic kidneys.
METHODS
Retrospective descriptive analysis of 47 children with multicystic dysplastic kidney seen in a pediatric nephrology unit over a period of 6 years.
RESULTS
Antenatal diagnosis of multicystic dysplastic kidney was made in 34 (72.3%) patients. On follow up of 31 children for more than 12 months, 21 (68%) had involution, 4 [13%] had non-regression, and 4 (13%) were nephrectomized. Vesico-ureteric reflux (n=13; 28%) was the commonest renal abnormality. The serum creatinine values were higher (P=0.006) in children with contralateral reflux. Sub-nephrotic proteinuria was noted in 9 (29%) and was significantly associated with complete involution (P=<0.023). None of the patients developed hypertension and 2 (6.4%) had renal failure.
CONCLUSIONS
Close nephrological follow-up is needed in children with multicystic dysplasia of kidneys.
