ESPN 51th Annual Meeting

ESPN 2018


 
Etiology of chronic renal failure in Kosovo
LIDVANA SPAHIU 1 HAKI JASHARI 1 VLORA ISMAILI JAHA 1 VIOLETA GRAJÇEVCI-UKA 1

1- UNIVERSITY CLINICAL CENTER OF KOSOVO, PEDIATRIC CLINIC
 
Introduction:

Chronic renal failure presents a gradual, progressive and irreversible loss of the kidney function. The most common causes of chronic renal failure amongst children are: congenital anomalies of the kidneys, polycystic kidneys, nephrotic syndrome, glomerulonephritis, nephronophthisis, vasculitis, hemolytic uremic syndrome, bilateral nephrolithiasis, familiar nephropathy, and systemic as well as idiopathic disorders. This study aims to present the causes of chronic renal failure in children of Kosovo.  

Material and methods:

 In this study we have included all children with signs of chronic renal failure that have been hospitalized in the Pediatric Clinic, unit of hemodialysis, between 2014 and 2017. All patients have been evaluated in terms of laboratory, ultrasonography, genetic as well as histopathologic examination of renal biopsies. 

Results:

 Ten children have been diagnosed and treated in total. Amongst them, six (60%) were males. Five (50%) patients were 16 years old, while the other five (50%) were between 4-12 years of age.  Various causes of renal failure have been found, such as: rapid progressive glomerulonephritis in three (30%) patients, while branchio-oto-renal syndrome, ANCA associated vasculitis, neurogenic bladder, hyperoxaluria type I, LES nephritis class IV, renal artery stenosis and status post osteosarcoma in one patient each. 

Conclusions:

 Causes of chronic renal failure in our study are diverse. The cost of evaluation is very high for our country; hence, improvement of the diagnostic workup is of crucial importance.