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Nephrol Dial Transplant (2002) 17: 166-168
© 2002 European Renal Association-European Dialysis and Transplant Association

Teaching Point

An eye for the diagnosis of chronic renal failure in young patients

(Section Editor: K. Kühn)

Samantha Hocking2,, Sunil Bhandari1 and Geoff Duggin2

1 Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Kingston upon Hull, UK 2 Statewide Renal Services, Royal Prince Alfred Hospital, Camperdown, Sydney, NSW, Australia

Keywords: dysplasia; eye examination; optic disc; PAX2; renal coloboma syndrome; renal failure

Introduction

Patients often present to nephrologists with end-stage renal dysfunction of an uncertain aetiology. Attention to other clinical findings may elucidate a diagnosis of a hereditary nephritis. This is important for both prognosis and screening of siblings and relatives, with potential earlier identification and treatment of renal disease.

Case report

A 3-year-old boy, who had ‘stale’ urine noted by his mother from the age of 6 months, was found to have vesico-ureteric reflux grade V. He underwent bilateral ureteric re-implantation at age 3.5 years. He remained asymptomatic until age 8 years when he was found to be hypertensive. Renal ultrasound and DMSA scans revealed bilateral renal hypoplasia with poor corticomedullary differentiation and . . . [Full Text of this Article]

Discussion

Teaching points

Notes

References


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