An infant case of bilateral small kidneys with both proximal and distal tubular dysfunction |
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Authors: | Hiroshi Tanaka Toru Nakahata Ryosuke Ito Norio Onodera Shinobu Waga |
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Institution: | Division of Pediatrics, Iwate Prefectural Kitakami Hospital, Kitakame;Department of Pediatrics, Hirosaki University School of Medicine, Hirosake, Japan |
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Abstract: | Abstract A male infant with bilateral small kidneys associated with both proximal and distal tubular dysfunction, who showed chronic renal failure soon after birth, is reported. He was also noted to have both proximal and distal type of renal tubular acidosis. The small kidneys were thought to be due to renal hypodysplasia associated with bilateral severe vesicoureteral reflux, by radiological findings. An alkalization therapy with chemo-prophylaxis seemed to be of benefit in slowing the progression of renal failure in this case. |
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Keywords: | alkalization therapy bilateral small kidneys renal failure renal tubular acidosis vesicoureteral reflux |
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