A rare presentation of end stage kidney disease in a 15-year-old girl: A case report

Author:

Chioma Okoronkwo Nneka1,Ijeoma Otuka Olufunmi Adebimpe2

Affiliation:

1. MBBS, FWACP, MSc. Consultant Paediatrician/Associate Professor, The Renal Unit, Department of Paediatrics, Abia State University Teaching Hospital, Aba, Abia State, Nigeria

2. MBBS, FWACP, Consultant Ophthalmologist, Senior Lecturer, The Ophthalmology Unit, Department of Surgery, Abia State University Teaching Hospital, Aba, Abia State, Nigeria

Abstract

Introduction: Chronic kidney disease (CKD) among children is on the rise, both locally and globally. The burden of managing CKD in children from resource-poor centers and the developing nations as a whole is quite challenging. Pediatric CKD has remained a death sentence in many poor nations of the world, including Nigeria. Chronic kidney disease is asymptomatic in its earliest stages, although urinalysis findings or blood pressure may be abnormal. As CKD progresses to more advanced stages, signs and symptoms greatly increase, making the diagnosis of CKD more obvious. Case Report: We hereby report a rare presentation of only headache, sudden blindness, hypertension, and retinal detachment as the only pointer to end stage kidney disease (ESKD) in a 15-year-old girl. Conclusion: There is need for nephro-prevention in children, and a higher index of suspicion for CKD, with the intention of reducing or halting disease progression at earlier stages of the disease.

Publisher

Edorium Journals Pvt. Ltd.

Subject

Cellular and Molecular Neuroscience,Developmental Neuroscience,Neurology,Toxicology,General Neuroscience,Toxicology,General Neuroscience,Cellular and Molecular Neuroscience,Developmental Neuroscience,Toxicology,Nuclear and High Energy Physics,Atomic and Molecular Physics, and Optics,Anthropology,Visual Arts and Performing Arts,Speech and Hearing,Public Health, Environmental and Occupational Health,Otorhinolaryngology,Mechanical Engineering,Acoustics and Ultrasonics,Mechanics of Materials,Condensed Matter Physics,General Materials Science,General Engineering,Industrial and Manufacturing Engineering,Public Health, Environmental and Occupational Health,Mechanical Engineering,Acoustics and Ultrasonics,Aerospace Engineering,Automotive Engineering,Building and Construction

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3. Gulati S. Chronic Kidney Disease in Children, Clinical Presentation. 2020. [Available at: https://emedicine.medscape.com/article/984358-clinical]

4. Hsu RK, Hsu CY. Epidemiology of kidney diseases. In: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, editors. Brenner and Rector’s the Kidney. 10ed. Philadelphia, PA: Elsevier; 2016. p. 638–54.

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