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Published on: June 23, 2015
[Acquired cysts of the kidneys in children with chronic renal failure]
Insights
Acquired kidney cysts occurred in 3.03% of children with chronic renal failure undergoing dialysis. Regular ultrasound screening is recommended for these patients, especially those awaiting kidney transplantation.
Area of Science:
- Pediatric Nephrology
- Medical Imaging
- Renal Physiology
Context:
- Chronic renal failure (CRF) in children presents unique challenges, including potential complications like acquired cystic kidney disease (ACKD).
- Dialysis, including peritoneal dialysis and hemodialysis, is a common treatment for pediatric CRF, necessitating ongoing patient monitoring.
- Understanding the incidence and characteristics of ACKD in this population is crucial for effective management.
Purpose:
- To evaluate the incidence of acquired kidney cysts in pediatric patients with chronic renal failure.
- To assess the diagnostic utility of ultrasound and CT tomography in identifying these cysts.
- To establish recommendations for monitoring and follow-up of children with CRF.
Summary:
- This study investigated acquired kidney cysts in 33 children with chronic renal failure undergoing conservative treatment with continuous peritoneal dialysis or hemodialysis.
- Diagnostic imaging, including ultrasound and CT tomography, was performed on all participants.
- Acquired kidney cysts were identified in one patient (3.03%) via ultrasound, with confirmation by CT scanning.
Impact:
- The findings highlight a low but present incidence of acquired kidney cysts in pediatric CRF patients on dialysis.
- Regular ultrasound screening (every three months) and periodic CT scans are recommended for monitoring dialyzed patients.
- This approach aids in the early detection and management of kidney cysts, particularly for children awaiting kidney transplantation.
Abstract:
The study aimed at evaluating an incidence of the acquired cysts of the kidneys in children with chronic renal failure. The study involved 33 children with renal failure treated conservatively with continuous peritoneal dialysis under ambulatory conditions and hemodialyses. CT tomography and sonography were carried out in all patients. The acquired cysts of the kidney were diagnosed in one out of 33 examined patients (3.03%) by ultrasound. This result was confirmed by CT-scanning. It is worth following the development of the cyst in his child waiting for kidney transplantation and further following all dialysed patients with ultrasound performed once per three months and CT-scans in some patients.
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