Acute kidney injury in children with sickle cell disease-compounding a chronic problem
- PMID: 28353009
- DOI: 10.1007/s00467-017-3650-3
Acute kidney injury in children with sickle cell disease-compounding a chronic problem
Abstract
In an article recently published in Pediatric Nephrology, Baddam and colleagues discuss the relatively underreported clinical problem of repeated episodes of acute kidney injury (AKI) in children with sickle cell disease (SCD). Their report is a cautionary note about the importance of repeated kidney injury on the background of underlying chronic kidney injury and its potential implications on long-term kidney outcome. In children and adults with SCD, this includes the effects of repeated vaso-occlusive crises and the management of these painful episodes with non-steroidal anti-inflammatory drugs. Here we review the scope of kidney involvement in SCD in children and discuss the potential short- and long-term consequences of AKI in children with SCD.
Keywords: Acute kidney injury; Children; Non-steroidal anti-inflammatory drugs; Sickle cell nephropathy; Vaso-occlusive pain crisis.
Comment on
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Acute kidney injury during a pediatric sickle cell vaso-occlusive pain crisis.Pediatr Nephrol. 2017 Aug;32(8):1451-1456. doi: 10.1007/s00467-017-3623-6. Epub 2017 Feb 25. Pediatr Nephrol. 2017. PMID: 28238158 Free PMC article.
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