End-Stage Reflux Nephropathy
作者:
BaileyRoss R.,
LynnKelvin L.,
RobsonRichard A.,
期刊:
Renal Failure
(Taylor Available online 1994)
卷期:
Volume 16,
issue 1
页码: 27-35
ISSN:0886-022X
年代: 1994
DOI:10.3109/08860229409044845
出版商: Taylor&Francis
数据来源: Taylor
摘要:
Forty-two of 371 patients (11.3%) entering a dialysis—transplant program had end-stage reflux nephropathy. Thirteen of these 371 patients were under 16 years of age, with 6 of them having reflux nephropathy. Most patients presented with severely impaired renal function, hypertension, and proteinuria. Documented urinary tract infections occurred in only 4 of the 18 male and 14 of the 24 female patients. Thirty-five patients had hypertension, which in 22 had not been detected before presentation. Five presented with accelerated hypertension. Eight of the 24 women presented during a pregnancy. Twentynine patients are still alive, 20 with a functioning renal transplant. Reflux nephropathy is an important cause of end-stage renal failure, particularly in younger people. All patients presenting with renal insufficiency and proteinuria, with or without urinary tract infections or hypertension, should have reflux nephropathy excluded.
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