Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Una nefrosi a esordio inusuale

CASE REPORT: NEPHROTIC SYNDROME WITH HYPOVOLEMIC SHOCK

MAURO MASSIMETTI, ERNESTO BANI

Istituto di Clinica Pediatrica, Università di Pisa

Giugno 1997 - pagg. 365 -368

Abstract
A case of steroid-responsive nephrotic syndrome in a six-year-old boy is described. Loss of consciousness due to hypovolemic shock was the presenting clinical picture. The epidemiological features and the main diagnostic and therapeutic problems of nephrotic syndrome are discussed.

Bibliografia

1. Glassock RJ, Cohen AH, Adler S: Primary Glomerular Diseases. In: Brenner ED (ed), Brenner & Rector’s, The Kidney (Fifth Edition). Saunders, Cap. 30, 1392, 1996.
2. Nash MA, Edelmann CM Jr, Burnstein J, Barnett HL: Minimal Change Nephrotic Syndrome, Diffuse Mesangial Hypercellularity, and Focal Glomerular Sclerosis. In: Edelmann CM Jr (ed), Pediatric Kidney Disease (Second Edition). Little, Brown, Cap. 55, 1267, 1992.
3. International Study of Kidney Disease in Childhood: Nephrotic syndrome in children: Prediction of histopathology from clinical and laboratory characteristics at time of diagnosis. Kidney Int 13, 159, 1978.
4. Report of a Workshop by the British Association for Paediatric Nephrology and Research Unit, Royal College of Physicians: Consensus Statement on management and audit potential for steroid responsive nephrotic syndrome. Arch Dis Child 70, 151, 1994.
5. Brodehl J: The treatment of minimal change nephrotic syndrome: lessons learned from multicentre co-operative studies. Eur J Pediatr 150, 380, 1991.
6. International Study of Kidney Disease in Childhood: Nephrotic syndrome in children: Early identification of patients with minimal change nephrotic syndrome from initial response to prednisone. J Pediatr 101, 514, 1982.
7. Humphreys MH: Mechanisms and management of nephrotic edema. Kidney Int 45, 266, 1994.
8. Perico N, Remuzzi G: Renal handling of sodium in the nephrotic syndrome. Am J Nephrol 13, 413, 1993.
9. Neuhaus TJ, Barratt TM: Minimal Change Disease. In: Massry SG, Glassock RJ (eds), Massry & Glassock’s, Textbook of Nephrology (Third Edition). Williams & Wilkins, Cap. 41 (4), 710, 1995.
10. Haycock GB: Complicanze gravi della sindrome nefrosica nell’infanzia. Nefrologia pediatrica 4, 221, 1987.
11. Miller TR, Anderson RJ, Linas SL, Henrich WL et al: Urinary diagnostic indices in acute renal failure: A prospective study. Ann Int Med 89, 47, 1978.
12. Rose BD: Tubulo prossimale. In: Rose BD (ed), Fisiologia clinica dell’equilibrio acido- base e dei disordini elettrolitici (quarta edizione). McGraw-Hill Libri Italia, Cap. 3, 57, 1995.
13. Virgilio RW, Rice CL, Smith DE et al: Crystalloid vs. colloid resuscitation: Is one better? Surgery 85, 129, 1979.
14. Moss GS, Lowe RJ, Jilek J, Levine HD: Colloid or crystalloid in the resuscitation of haemorrhagic shock: a controlled clinical trial. Surgery 89, 434, 1981.
15. Erstad BL, Gales BJ, Rappaport WD: The use of albumin in clinical practice. Arch Intern Med 151, 901, 1991.
16. Rackow EC, Falk JL, Fein IA et al: Fluid resuscitation in circulatory shock: A comparison of the cardiorespiratory effects of albumin, hetastarch, and saline solutions in patient with hypovolemic and septic shock. Crit Care Med 11, 839, 1993.
17. Opas LM, Lieberman E: Fluid and Electolyte Disorders in Infants and Children. In: Massry SG, Glassock RJ (eds), Massry & Glassock’s, Textbook of Nephrology (Third Edition). Williams & Wilkins, Cap. 27, 530, 1995.