Bardet-Biedl syndrome with end-stage kidney disease in a four-year-old Romanian boy: a case report
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Published on: June 20, 2018
Cristina M Mihai1, Jan D Marshall, Ramona M Stoicescu
1Faculty of Medicine, "Ovidius" University, 145 Tomis Blvd, Constanta 900591, Romania. cristina2603@yahoo.com.
Insights
Bardet-Biedl syndrome often causes kidney disease in children. Early detection and dialysis are crucial for managing end-stage renal disease in affected individuals.
Area of Science:
- Pediatric Nephrology
- Genetics
- Rare Diseases
Background:
- Bardet-Biedl syndrome is a genetic disorder linked to childhood chronic kidney disease.
- Kidney abnormalities contribute significantly to morbidity and mortality in Bardet-Biedl syndrome.
- Early-onset end-stage renal disease and peritoneal dialysis are underreported in Bardet-Biedl syndrome literature.
Purpose of the Study:
- To highlight the importance of early renal monitoring in Bardet-Biedl syndrome.
- To present a case of early-onset end-stage renal disease managed with peritoneal dialysis.
Main Methods:
- Case report of a four-year-old boy diagnosed with Bardet-Biedl syndrome.
- Clinical evaluation including diagnosis of hypertension, severe anemia, and end-stage renal disease.
- Initiation of continuous ambulatory peritoneal dialysis.
Main Results:
- The patient met diagnostic criteria for Bardet-Biedl syndrome.
- The patient required continuous ambulatory peritoneal dialysis for end-stage renal disease.
- The case underscores the potential for early and severe renal complications.
Conclusions:
- Early and close renal monitoring is essential for Bardet-Biedl syndrome patients.
- Prompt initiation of renal replacement therapy, such as peritoneal dialysis, is recommended.
- This approach aims to prevent or mitigate end-stage renal disease progression.
Background:
Bardet-Biedl syndrome is a significant genetic cause of chronic kidney disease in children. Kidney abnormalities are a major cause of morbidity and mortality in Bardet-Biedl syndrome, but the onset of end-stage renal disease at an early age and continuous ambulatory peritoneal dialysis, however, are not commonly mentioned in the literature.
Case Presentation:
We present the case of a four-year-old Romanian boy who presented to our department with 'febrile seizures'. After an initial evaluation, we diagnosed our patient as having hypertension, severe anemia and end-stage renal disease. He met the major and minor criteria for the diagnosis of Bardet-Biedl syndrome and underwent continuous ambulatory peritoneal dialysis.
Conclusions:
Close follow-up for renal involvement in patients with Bardet-Biedl syndrome and Alström syndrome from an early age is highly recommended to prevent end-stage renal disease and so renal replacement therapy can be started immediately.
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