Pattern of Renal Diseases Among Children Admitted to Assiut University Children Hospital.

Abstract

Background The pattern of childhood renal diseases is different in developing countries in comparison to developed countries. Pediatric renal disease may be difficult to diagnose early as it may present only with mild symptoms.The aim of this study is to find out the pattern of renal diseases in children admitted at Assuit University Children Hospital over one year duration. Patients and methods This observational study was carried out on children and adolescents with age range from 1 day to 18 years who were admitted Assuit University Children Hospital over a period of one year from November 2016 to October 2017 data collected included symptoms, signs and investigation that aided in patients diagnosis. Results Renal diseases had constituted 1.15% of total number of patients admitted to pediatrics department in this duration. Out of 482 patients 29.7% were diagnosed as acute kidney injury (AKI) due to prerenal cause, 15.1% had glomerulonephritis (GN),14.7% had nephrotic syndrome (NS), 14.1% had congenital anomalies of the kidney and urinary tract(CAKUT), 6.6% had urolithiasis, 5.6% had hemolytic uremic syndrome(HUS), 5% had tubular disorder,4.1% urinary tract infection (UTI) not associated with renal disease, 2.7% had chronic kidney disease(CKD) due to unknown cause and finally diabetic nephropathy (DN)was seen in 2.3% from totally diagnosed patients. The common presenting features were odema , oliguria and hematuria. Conclusion The most common renal disease was acute kidney injury due to prerenal cause.