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[Cyclic vomiting with ketosis as a cause of acute kidney dysfunction: own clinical experience]
L Ostrowska-Nawarycz1, E Rapacka, J Baszczyński
1Katedry Pediatrii Wojskowej Akademii Medycznej w Lodzi.
Insights
Cyclic vomiting with ketosis can cause temporary kidney dysfunction in children. Most cases require intravenous hydration, particularly in preschool-aged children experiencing ketonemic vomiting.
Area of Science:
- Pediatrics
- Nephrology
- Gastroenterology
Abstract:
The aim of the study was to evaluate renal activity during cyclic vomiting with ketosis. The clinical material was obtained from 50 cases of children hospitalized in Department of Pediatrics Military Medical University within 1993-1999 what makes about 1% of all patients. The examined group consisted of 26 boys (52%) and 24 girls (48%). Three of the children were repeatedly hospitalized (3 to 8 times) because of acetonemic vomiting. The special attention during the laboratory studies was paid to evaluation of renal activity. Vomiting with ketosis were associated with temporary kidneys acute dysfunction in 46% of cases. In 98% of cases the parenteral hydration was necessary. Ketonemic vomiting with kidneys dysfunction was observed mainly with the children in pre-school age.