17岁肾衰竭男孩，肌酐水平创儿科文献报道最高纪录。
17-Year-Old Boy with Renal Failure and the Highest Reported Creatinine in Pediatric Literature.
作者信息
Master Sankar Raj Vimal, Garcia Jessica, Gordillo Roberto
机构信息
Department of Pediatric Nephrology, University of Illinois College of Medicine at Peoria (UICOMP), Peoria, IL 61603, USA.
Department of Pediatrics, University of Illinois College of Medicine at Peoria (UICOMP), Peoria, IL 61603, USA.
出版信息
Case Rep Pediatr. 2015;2015:703960. doi: 10.1155/2015/703960. Epub 2015 Jun 14.
The prevalence of chronic kidney disease (CKD) is on the rise and constitutes a major health burden across the world. Clinical presentations in early CKD are usually subtle. Awareness of the risk factors for CKD is important for early diagnosis and treatment to slow the progression of disease. We present a case report of a 17-year-old African American male who presented in a life threatening hypertensive emergency with renal failure and the highest reported serum creatinine in a pediatric patient. A brief discussion on CKD criteria, complications, and potential red flags for screening strategies is provided.
慢性肾脏病（CKD）的患病率正在上升，成为全球主要的健康负担。CKD早期的临床表现通常不明显。了解CKD的危险因素对于早期诊断和治疗以减缓疾病进展很重要。我们报告一例17岁非裔美国男性病例，该患者因肾衰竭出现危及生命的高血压急症，其血清肌酐水平在儿科患者中报道为最高。本文还简要讨论了CKD的诊断标准、并发症以及筛查策略的潜在警示信号。
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