Pitón Mayra, Gregorini Lucas, Bullor Carolina, Ejdin Alan, López Vieyto Daniela, Lis Daniela, Sarmiento Ernestina, Piantanida Juan J
Clínica Pediátrica, Hospital de Niños Dr. Ricardo Gutiérrez, Ciudad Autónoma de Buenos Aires, Argentina.
Servicio de Nefrología Pediátrica, Hospital de Niños Dr. Ricardo Gutiérrez, Ciudad Autónoma de Buenos Aires, Argentina.
Arch Argent Pediatr. 2022 Jun;120(3):e142-e146. doi: 10.5546/aap.2022.e142.
Nephronophthisis is an autosomal recessive cystic kidney disease caused by mutations in genes that encode proteins involved in the primary cilia function, resulting in kidney disease and extrarenal manifestations such as retinal degeneration and liver fibrosis. According to the age of development of end-stage chronic kidney disease, three clinical forms of presentation are described: infantile, juvenile and adolescent. Diagnosis is made by a positive genetic test, or a kidney biopsy demonstrating chronic tubulointerstitial changes with thickening of the tubular basement membranes. At the moment there is no healing therapy, so early kidney transplant is a fundamental tool to improve prognosis. Nefronoptisis: reporte de un caso pediátrico Nephronophthisis: a pediatric case report We present a 13-month old male patient with polyuria, kidney failure, anemia and elevated aminotransferases over three months. With compatible histological kidney biopsy, the diagnosis of infantile nephronophthisis with liver involvement was reached.
肾单位肾痨是一种常染色体隐性遗传性囊性肾病,由编码参与初级纤毛功能的蛋白质的基因突变引起,可导致肾脏疾病及肾外表现,如视网膜变性和肝纤维化。根据终末期慢性肾病的发病年龄,可分为三种临床类型:婴儿型、青少年型和青年型。诊断依据为基因检测阳性,或肾活检显示慢性肾小管间质改变及肾小管基底膜增厚。目前尚无治愈性疗法,因此早期肾移植是改善预后的重要手段。肾单位肾痨:一例儿科病例报告 我们报告一名13个月大的男性患儿,三个月来出现多尿、肾衰竭、贫血及转氨酶升高。经组织学肾活检结果相符,诊断为累及肝脏的婴儿型肾单位肾痨。