Pediatric Inflammatory Bowel Diseases: Should We Be Looking for Kidney Abnormalities?

Abstract:

Background:Kidney disease has been reported in adults with inflammatory bowel disease (IBD) and is regarded an extraintestinal manifestation or more rarely a side effect of the medical treatment. Methods:In this cross-sectional study we describe the extent of kidney pathology in a cohort of 56 children with IBD. Blood and urine samples were analyzed for markers of kidney disease and ultrasonography was performed to evaluate pole-to-pole kidney length. Results:We found that 25% of the patients had either previously reported kidney disease or ultrasonographic signs of chronic kidney disease. The median kidney size compared with normal children was significantly reduced. In a multivariate linear mixed model, small kidneys significantly correlated with the use of infliximab, whereas the use of enteral nutritional therapy was associated with larger kidneys. Conclusion:Children with IBD are at risk of chronic kidney disease, and the risk seems to be increased with the severity of the disease.

journal_name

Inflamm Bowel Dis

authors

Lauritzen D,Andreassen BU,Heegaard NHH,Klinge LG,Walsted AM,Neland M,Nielsen RG,Wittenhagen P

doi

10.1093/ibd/izy166

subject

Has Abstract

pub_date

2018-11-29 00:00:00

pages

2599-2605

issue

12

eissn

1078-0998

issn

1536-4844

pii

4987234

journal_volume

24

pub_type

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