Abstract

Case Report

A remote cause of anuria in a child

Mehtap Çelakıl*, Zelal Ekinci and Kürşat Demir Yıldız

Published: 26 February, 2020 | Volume 4 - Issue 1 | Pages: 011-013

Acute renal injury is a rare complication of idiopathic nephrotic syndrome with mesPGN. Here we present a 2-year-old male patient with 4 days history of anuria, generalized edema and hypervolemia. Any evidence other than proteinuria and renal failure could not be identified with laboratory tests and doppler ultrasonography. Anuric presentation was thought to be related with rapidly progressive glomerulonephritis, diffuse mesangial sclerosis or acute tubular necrosis. However, renal biopsy revealed mesangial proliferative glomerulonephritis (mesPGN). Prednisolone 2 mg/kg/day was prescribed. Diuresis was started gradually and on the 10th day of disease, anuria was resolved and acute renal injury recovered without any sequel. This case is presented because of the incompatibility between clinical findings and histopathologic diagnosis. It is concluded that although rare, anuria and acute renal injury could be the presenting symptom of idiopathic nephrotic syndrome in childhood. 

Read Full Article HTML DOI: 10.29328/journal.jcn.1001050 Cite this Article Read Full Article PDF

Keywords:

Acute renal injury; Anuria; Infant; mesPGN

References

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