An Overview of Renal Diseases in Children in Pokhara

Malla, T; Malla, KK; Thapalial, A; Sharma, MS

Publication:
An Overview of Renal Diseases in Children in Pokhara

creativeworkseries.issn	ISSN 1990-7974 eISSN 1990-7982
dc.contributor.author	Malla, T
dc.contributor.author	Malla, KK
dc.contributor.author	Thapalial, A
dc.contributor.author	Sharma, MS
dc.date.accessioned	2026-06-23T10:51:45Z
dc.date.available	2026-06-23T10:51:45Z
dc.date.issued	2007
dc.description	T Malla Manipal College of Medical Sciences, Phulbari, Pokhara, Nepal KK Malla Manipal College of Medical Sciences, Phulbari, Pokhara, Nepal A Thapalial Manipal College of Medical Sciences, Phulbari, Pokhara, Nepal MS Sharma Manipal College of Medical Sciences, Phulbari, Pokhara, Nepal
dc.description.abstract	Abstract: Objective: To determine the current pattern and prevalence of renal diseases in childhood in this region of Nepal. Material and Methods: A retrospective study of the renal diseases in children attending the Pediatric OPD and those hospitalised in Manipal Teaching Hospital, Pokhara was done over a period of 6 years (September 2000- September 2006). A detailed clinical and laboratory evaluation was performed at baseline. The children were managed according to disease diagnosed. These cases are under follow up and some have undergone surgical treatment. Results: 228 children (123 boys & 105girls) were diagnosed to have renal disease. Among them 39.5% had urinary tract infection (UTI), 30.7 % were suffering from acute glomerulonephritis (AGN), 17.5% were cases of nephrotic syndrome (NS) and 12 % had some other problems for example, 6.14% had genetic defects, 2.63% had renal Stone, 2.2% had pre-renal acute renal failure, unexplained recurrent hematuria in 1.3%. All the cases of UTI underwent through investigation and were treated accordingly. All cases of AGN are planned for follow up for 1½ yrs and among them 3 required biopsy till date. All cases of NS are under regular follow-ups and 2 have undergone biopsy. Renal stone was operated successfully. All cases of acute and chronic renal failures had required dialysis. Out of 5 (2.5%) chronic renal failures, 2 with end stage renal disease expired after repeated hemodialysis and three are still requiring dialysis. Among the obstructive uropathies, 43 % had renal stone, 36 % had posterior urethral valve and 21% VUR. Conclusion: It can be concluded that renal disease is not uncommon in children. It can be completely cured with proper and adequate treatment. Sometimes it has a bad prognosis when it reaches end stage renal disease. Early recognition, timely treatment and regular follow up are mandatory in management of children with renal diseases.
dc.identifier	https://doi.org/10.3126/jnps.v27i2.1414
dc.identifier.uri	https://hdl.handle.net/20.500.14572/6762
dc.language.iso	en_US
dc.publisher	Nepal Paediatric Society (JNPS)
dc.subject	Renal disease pattern
dc.subject	UTI
dc.subject	AGN
dc.subject	NS
dc.subject	Obstructive Uropathy
dc.subject	Renal failure
dc.title	An Overview of Renal Diseases in Children in Pokhara
dc.type	Article
dspace.entity.type	Publication
local.article.type	Original Article
oaire.citation.endPage	78
oaire.citation.startPage	75
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