RESUMEN
Malnutrition is a very important problem in children with ESRD on peritoneal dialysis. Examinations were conducted on 20 children (9 girls, 11 boys), 10 children were treated continuous ambulatory peritoneal dialysis (CAPD) and 10 automated peritoneal dialysis (APD). Anthropometric and serum biochemical parameters were examined. Dialysis adequacy by KT/V, SCCr, PCR were described. The most significant malnutrition was observed in youngest children with lowest BMI values and significant muscle and fat mass deficiency. Increased protein catabolic rate (PCR) in children under 6 years old was an important factor leading to malnutrition.
Asunto(s)
Fallo Renal Crónico/complicaciones , Trastornos Nutricionales/etiología , Trastornos Nutricionales/terapia , Estado Nutricional , Diálisis Peritoneal Ambulatoria Continua , Adolescente , Antropometría , Índice de Masa Corporal , Niño , Preescolar , Femenino , Humanos , Lactante , Fallo Renal Crónico/terapia , MasculinoRESUMEN
Cardio-vascular abnormalities appear very often in end-stage renal failure patients. Because of this we have examined 54 patients, children and adolescents, 35 patients underwent haemodialysis (HD) and 19 continuous ambulatory peritoneal dialysis (CAPD). We can observe that the anatomical status of the heart was dependent upon the time of the treatment. The function of the heart was normal much longer. Structural heart's abnormalities were observed earlier in patients on HD than on CAPD.
Asunto(s)
Ventrículos Cardíacos/anomalías , Ventrículos Cardíacos/fisiopatología , Fallo Renal Crónico/terapia , Diálisis Peritoneal Ambulatoria Continua/métodos , Adolescente , Adulto , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Diálisis Renal , Factores de TiempoRESUMEN
Helicobacter pylori, a bacteria first described in 1984, since that time is linked with chronic gastritis and duodenitis. Dyspeptic symptoms and chronic gastritis are common in patients with chronic renal failure (CRF). The aim of the study was to evaluate of Helicobacter pylori-specific IgG and IgA prevalence in 73 CRF children and possible link of H. pylori infection and dyspeptic symptoms. Anti-H. pylori IgG antibodies were present in 20.5% CRF children (treated conservatively--21%; on CAPD--9%; chronically hemodialysed--29.6%), IgA antibodies was present only in 3 dialysed children (4.1%). Comparing to adult CRF patient, a lower rate of H. pylori infection was observed. No correlation between H. pylori seropositivity and a presence of dyspeptic symptoms was observed. Prevalence of H. pylori antibodies was higher in older CRF children and adolescents.
Asunto(s)
Anticuerpos Antibacterianos/inmunología , Especificidad de Anticuerpos/inmunología , Infecciones por Helicobacter/epidemiología , Infecciones por Helicobacter/etiología , Helicobacter pylori/inmunología , Inmunoglobulina A/inmunología , Inmunoglobulina G/inmunología , Fallo Renal Crónico , Adolescente , Adulto , Niño , Preescolar , Femenino , Infecciones por Helicobacter/complicaciones , Helicobacter pylori/aislamiento & purificación , Humanos , Lactante , Fallo Renal Crónico/complicaciones , Masculino , PrevalenciaRESUMEN
The risk of neoplasma depends on the amount of mutagenic factors and the ability of immunological system to eliminate neoplasma cells. Immunosuppressive treatment administered in hematology, transplantology, nephrology, rheumatology and dermatology impairs the function of immunological system. The review of literature referring neoplasma epidemiology in the disciplines of medicine, mentioned above was made. The incidence of neoplasma in patients undergoing immunosuppressive treatment is much higher than in rest of population and depends on many factors: primary disease, type of treatment and kind of organ transplanted.
Asunto(s)
Inmunosupresores/efectos adversos , Neoplasias/etiología , HumanosRESUMEN
Primary psoas abscess is rare and presents a difficult diagnostic challenge. We present an unusual case of primary psoas abscess causing hydronephrosis in a 11-year-old boy. The presence of hydronephrosis complicated diagnosis, that was definitely confirmed by computerized tomography. Percutaneous drainage of the abscess under ultrasonography guidance combined with antibiotic therapy provided an effective treatment. Culture of the pus showed Staphylococcus aureus. The subject is discussed noting incidence, etiology and methods of treatment of primary and secondary psoas abscesses.