Paediatric Nephrology

Although kidney problems are deemed to be rare in the pediatric age group, a significant number of children do suffer renal problems, both developmental and acquired. Some easily treatable conditions such as post-infectious glomerulonephritis & steroid-sensitive nephrotic syndrome are more common in childhood. Renal conditions unique to children include congenital anomalies of the kidneys & urinary tract (CAKUT), posterior urethral valves, vesicoureteric reflux, voiding dysfunction, recurrent urinary tract infections & the wide spectrum of renal tubular disorders with presentation as varied as metabolic acidosis and dehydration, failure to thrive, rickets, recurrent renal stones, electrolyte abnormalities &hypertension. Many of these conditions cause severe morbidity and/or progress to renal failure if left untreated. Appropriate management of renal failure & early initiation of dialysis & renal transplantation is particularly important in children with end-stage renal disease considering the long life expectancy in children. Management of nutrition & immunization also poses challenges in children with kidney disease.

The Division of Pediatric Nephrology specializes in the diagnosis and management of children with a variety of acute and chronic kidney-related disorders. We evaluate and treat children with the complicated nephrotic syndrome, hypertension, hematuria, proteinuria, renal tubular acidosis, nephrolithiasis, glomerulonephritis, acute and chronic kidney failure. We also provide comprehensive care for pediatric patients with end-stage kidney disease, including care to patients undergoing peritoneal dialysis and hemodialysis, pre-transplant workup and follow-up care of children after kidney transplantation.