• 제목/요약/키워드: Childhood nephrotic syndrome

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신 증후군을 동반한 베체트 증후군(Behcet syndrome) 1례 (A Case of Nephrotic Syndrome in Behcet Syndrome)

  • 정우석;김혜영;이대열
    • Childhood Kidney Diseases
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    • 제2권1호
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    • pp.73-76
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    • 1998
  • Behcet syndrome is a multisystem disease complex of unknown cause. It is usually manifested by aphthous oral and genital ulcers, uveitis and skin eruption. Less frequently, CNS involvement, colitis, large vessel vasculitis, and myocarditis occur. Recently, several studies have reported renal manifestations of amyloidosis and focal necrotizing glomerulonephritis in Behcet syndrome. We describe a patient with Behcet syndrome who experienced nephrotic syndrome with focal effacement of epithelial foot process in glomeruli. A brief review of literature ensues.

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신 증후군 환아에서 Cyclosporin A 치료 중 발생한 급성 백색질 뇌증 1례 (Acute Leukoencephalopathy During Cyclosporin A Therapy in a Pediatric Patient with Nephrotic Syndrome)

  • 정석원;이경화;권영세;김순기;손병관;이지은
    • Childhood Kidney Diseases
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    • 제9권1호
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    • pp.91-96
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    • 2005
  • CsA 유발성 중추 신경독성은 신증후군 환자에서 드물게 보고되고 있다. 저자들은 신 증후군환아에서 CsA 치료 중에 뇌 자기공명 영상으로 확진한 급성 백색질 뇌증 1례를 경험하였기에 보고하는 바이다.

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신증후군 환자에서 스테로이드 충격요법과 경구용 면역억제제 치료 중 발생한 가역성 후백질뇌병증 1례 (A Case of Reversible Posterior Leukoencephalopathy Syndrome during Methylprednisolone Pulse and Cyclophosphamide Therapy in a Child with Nephrotic Syndrome)

  • 서주희;신정욱;김지홍;윤춘식
    • Childhood Kidney Diseases
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    • 제9권2호
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    • pp.245-250
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    • 2005
  • 저자들은 정맥 주사용 스테로이드 충격요법과 경구 cyclophosphamide 치료를 받던 신증후군 환아에서 가역성 후백질뇌병증 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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미세 변화형 신증후군과 동반된 급성 무결석 담낭염 1례 (A Case of Acute Acalculous Cholecystitis Superimposed on the Nephrotic Syndrome)

  • 신윤호;박지민;신재일;김명준;이재승
    • Childhood Kidney Diseases
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    • 제7권1호
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    • pp.91-95
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    • 2003
  • 저자들은 4세에 신증후군으로 진단받고 스테로이드를 투여하며 재발을 수 회 반복하던 환자가 갑작스런 복통과 구토를 주소로 입원하여 시행한 검사 상 급성 무결석 담낭염으로 진단받고 금식, 비 위관 배액, 충분한 수액 공급, 그리고 항생제치료로 완치된 경우를 경험하였기에 이를 보고하는 바이다.

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H1N1 인플루엔자 바이러스 감염과 동반되어 발생한 신증후군 1례 (A Case of Nephrotic Syndrome with Swine-origin H1N1 Influenza Virus)

  • 김세윤;김명욱;이상수;박용훈
    • Childhood Kidney Diseases
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    • 제14권2호
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    • pp.218-222
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    • 2010
  • 최근의 유행한 신종 H1N1 S-OIV는 전세계적으로 퍼지고 있고, 이에 동반된 호흡기 질환등의 여러 합병증들이 보고되었다. 신증후군은 간염바이러스 등의 감염 후에 발현될 수 있는 것으로 알려져 있으나 S-OIV 감염 후에 발생한 예는 보고된 적이 없는 실정이다. 저자들은 S-OIV 감염으로 확진된 환아에서 발생한 신증후군이 발생하였으나 스테로이드 치료로 쉽게 치료된 경험을 하였기에 이를 보고하는 바이다.

Acute kidney injury in childhood-onset nephrotic syndrome: Incidence and risk factors in hospitalized patients

  • Kim, Mi Young;Cho, Myung Hyun;Kim, Ji Hyun;Ahn, Yo Han;Choi, Hyun Jin;Ha, Il Soo;Cheong, Hae Il;Kang, Hee Gyung
    • Kidney Research and Clinical Practice
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    • 제37권4호
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    • pp.347-355
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    • 2018
  • Background: Nephrotic syndrome (NS) is the most common glomerulopathy in children. Acute kidney injury (AKI) is a common complication of NS, caused by severe intravascular volume depletion, acute tubular necrosis, interstitial nephritis, or progression of NS. However, the incidence and risk factors of childhood-onset NS in Korea are unclear. Therefore, we studied the incidence, causes, and risk factors of AKI in hospitalized Korean patients with childhood-onset NS. Methods: We conducted a retrospective review of patients with childhood-onset NS who were admitted to our center from January 2015 to July 2017. Patients with decreased renal function or hereditary/secondary NS, as well as those admitted for management of other conditions unrelated to NS, were excluded. Results: During the study period, 65 patients with idiopathic, childhood-onset NS were hospitalized 90 times for management of NS or its complications. Of these 90 cases, 29 met the Kidney Disease Improving Global Outcomes criteria for AKI (32.2%). They developed AKI in association with infection (n = 12), NS aggravation (n = 11), dehydration (n = 3), and intravenous methylprednisolone administration (n = 3). Age ${\geq}9$ years at admission and combined use of cyclosporine and renin-angiotensin system inhibitors were risk factors for AKI. Conclusion: AKI occurred in one-third of the total hospitalizations related to childhood-onset NS, owing to infection, aggravation of NS, dehydration, and possibly high-dose methylprednisolone treatment. Age at admission and use of nephrotoxic agents were associated with AKI. As the AKI incidence is high, AKI should be considered during management of high-risk patients.

소두증을 동반한 조기 발현 신증후군 1례 : Galloway-Mowat 증후군 (A Case of Microcephaly and Early-onset Nephrotic Syndrome : Galloway-Mowat Syndrome)

  • 유병원;조성민;기정혜;정희정;김기혁
    • Childhood Kidney Diseases
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    • 제7권2호
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    • pp.197-203
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    • 2003
  • 다양한 신경학적 이상을 동반한 소두증과 조기발현 신증군을 보이는 Galloway-Mowat 증후군은 치료반응이 불량하며 신기능의 저하가 진행되 조기에 사망하는 드문 유전성 질환이다. 임상적, 조직학적 다양성을 보이는 소두증과 신증후군을 동반한 일련의 질환군에 대해 아직 그 견해가 정립되지 않았고 향후 지속적인 연구가 이어질 것으로 생각되며 유전성 및 예후 등을 고려할 때 주목해야 할 필요가 있다고 생각되어 저자들이 경험한 소두증과 신경학적 이상을 동반한 조기발현 신증후군 1례를 보고하는 바이다.

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스테로이드 저항성 신증후군 소아 3례에서 Cyclophosphamide 정맥투여요법의 치료실패 (No Effect of IV cyclophosphamide in Children with Steroid Resistant Nephrotic Syndrome)

  • 민수진;이창연
    • Childhood Kidney Diseases
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    • 제2권2호
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    • pp.183-186
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    • 1998
  • Steroid Resistant Nephrotic Syndrome(SRNS) in children has poor prognosis and no effective therapy. In 1994, Ravi Elhence have reported that IV cyclophosphamide therapy was effective against SRNS of children. So, we evaluated the efficacy of IV cyclophosphamide in 3 children with biopsy proven steroid-resistant MCNS. And the result was the rapeutic failure. In conclusion, IV cyclophosphamide therapy wass not effective against SRNS of children.

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Kimura 병에 병발한 신증후군 2례 (Two Cases of Nephrotic Syndrome Associated with Kimura Disease)

  • 한혜원;박경미;하일수;최용;정해일
    • Childhood Kidney Diseases
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    • 제3권2호
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    • pp.217-220
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    • 1999
  • Kimura disease is a chronic benign disorder, primarily seen in asians male during the second and third decades of life, which presents itself as a tumour like lesion with a predilection for the head and neck region. There is high prevalence of associated renal disease. We report two cases of nephrotic syndrome associated with Kimura disease, and this is the first report of Kimura disease with renal involvement in Korean children.

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Circulating Permeability Factors in Idiopathic Nephrotic Syndrome

  • Ha, Tae-Sun
    • Childhood Kidney Diseases
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    • 제23권1호
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    • pp.7-21
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    • 2019
  • Nephrotic syndrome (NS) is a common chronic glomerular disease in children characterized by significant proteinuria with resulting hypoalbuminemia, edema, and hyperlipidemia. Renal biopsy findings of diffuse foot processes effacement on electron microscopy and minimal change disease, focal segmental glomerulosclerosis (FSGS), or diffuse mesangial proliferation on light microscopy. It has been speculated that circulating permeability factors would be implicated in the pathogenesis of NS because they have been reportedly detected in the sera of patients and in experimental models of induced proteinuria. Moreover, a substantial portion of the patients with primary FSGS recurrence shortly after transplantation. This report reviews the current knowledge regarding the role of circulating permeability factors in the pathogenesis of proteinuria in NS and suggests future targeted therapeutic approaches for NS.