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Published on: July 19, 2018
Ear, nose and throat manifestations in pediatric chronic renal failure patients undergoing peritoneal dialysis
Sandeep Kumar1, A Chakravarti, J K Sahni
1Department of ENT, Lady Hardinge Medical College & Asso. Hospitals, 110 001 New Delhi.
Insights
Chronic renal failure in children often causes ear, nose, and throat issues, frequently linked to high blood urea. Treatment focused on improving kidney function significantly resolved these common ENT problems.
Area of Science:
- Nephrology
- Otolaryngology
- Pediatrics
Background:
- Ear, Nose, and Throat (ENT) manifestations are common in chronic renal failure (CRF).
- Factors like ototoxic drugs and uremia contribute to these ENT issues in CRF patients.
Purpose of the Study:
- To evaluate ENT manifestations in pediatric patients with CRF undergoing peritoneal dialysis.
- To discuss the pathophysiology and treatment of these ENT manifestations.
Main Methods:
- Study included thirty pediatric patients (age 4-16 years) with CRF on peritoneal dialysis.
- Clinical evaluation of ENT manifestations and blood urea levels was performed.
Main Results:
- High blood urea levels were a significant finding in all studied cases.
- Most ENT manifestations showed marked improvement after renal function correction and appropriate therapy.
Conclusions:
- Pediatric CRF patients experience various ENT manifestations.
- Effective management of renal function is crucial for improving ENT symptoms in these patients.
Abstract:
Ear, Nose and Throat manifestations have been frequently observed in patients with chronic renal failure. Many factors viz. ototoxic drugs, associated conditions of renal failure such as electrolyte imbalance, alteration in blood urea etc. have been implicated for these manifestations. The present study has been conducted to evaluate ear, nose and throat manifestations in thirty pediatric patients (age group 4-16 year) of chronic renal failure undergoing peritoneal dialysis. Probable patho-physiology and treatment of ENT manifestations has been discussed. The remarkable findings in all these cases were the high blood urea level. Most of these manifestations were markedly improved by correction of the renal functions and ideal therapeutic measures.
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