Review on long-term non-renal complications of childhood nephrotic syndrome

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Review on long-term non-renal complications of childhood nephrotic syndrome. / Lee, Jiwon M; Kronbichler, Andreas; Shin, Jae Il; Oh, Jun.

In: ACTA PAEDIATR, Vol. 109, No. 3, 03.2020, p. 460-470.

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@article{bc4817399d82461483003c2704484c73,
title = "Review on long-term non-renal complications of childhood nephrotic syndrome",
abstract = "BACKGROUND: Nephrotic syndrome (NS) is the most common glomerular childhood disease. A body of literature has described the long-term renal prognosis of childhood-onset idiopathic NS. However, the nonrenal outcomes have not been studied as much.AIM: We aimed to discuss the long-term non-renal outcomes of childhood NS, highlighting studies with a follow-up period of more than 10 years.RESULTS: We reviewed the literature and found that a number of immunosuppressive agents have stopped inflammation, stabilised the podocyte cytoskeleton and reduce proteinuria. However, prolonged treatment has frequently been associated with a high risk of renal and non-renal complications in patients with a complicated disease course, defined as frequent relapses or steroid dependency. Non-renal complications may include impaired longitudinal growth and pubertal development, undesirable fertility outcomes, ocular complications, bone mineral diseases and potential malignancies.CONCLUSION: This review discusses and summarises the non-renal outcomes of idiopathic childhood NS.",
author = "Lee, {Jiwon M} and Andreas Kronbichler and Shin, {Jae Il} and Jun Oh",
note = "{\textcopyright} 2019 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.",
year = "2020",
month = mar,
doi = "10.1111/apa.15035",
language = "English",
volume = "109",
pages = "460--470",
journal = "ACTA PAEDIATR",
issn = "0803-5253",
publisher = "Wiley-Blackwell",
number = "3",

}

RIS

TY - JOUR

T1 - Review on long-term non-renal complications of childhood nephrotic syndrome

AU - Lee, Jiwon M

AU - Kronbichler, Andreas

AU - Shin, Jae Il

AU - Oh, Jun

N1 - © 2019 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

PY - 2020/3

Y1 - 2020/3

N2 - BACKGROUND: Nephrotic syndrome (NS) is the most common glomerular childhood disease. A body of literature has described the long-term renal prognosis of childhood-onset idiopathic NS. However, the nonrenal outcomes have not been studied as much.AIM: We aimed to discuss the long-term non-renal outcomes of childhood NS, highlighting studies with a follow-up period of more than 10 years.RESULTS: We reviewed the literature and found that a number of immunosuppressive agents have stopped inflammation, stabilised the podocyte cytoskeleton and reduce proteinuria. However, prolonged treatment has frequently been associated with a high risk of renal and non-renal complications in patients with a complicated disease course, defined as frequent relapses or steroid dependency. Non-renal complications may include impaired longitudinal growth and pubertal development, undesirable fertility outcomes, ocular complications, bone mineral diseases and potential malignancies.CONCLUSION: This review discusses and summarises the non-renal outcomes of idiopathic childhood NS.

AB - BACKGROUND: Nephrotic syndrome (NS) is the most common glomerular childhood disease. A body of literature has described the long-term renal prognosis of childhood-onset idiopathic NS. However, the nonrenal outcomes have not been studied as much.AIM: We aimed to discuss the long-term non-renal outcomes of childhood NS, highlighting studies with a follow-up period of more than 10 years.RESULTS: We reviewed the literature and found that a number of immunosuppressive agents have stopped inflammation, stabilised the podocyte cytoskeleton and reduce proteinuria. However, prolonged treatment has frequently been associated with a high risk of renal and non-renal complications in patients with a complicated disease course, defined as frequent relapses or steroid dependency. Non-renal complications may include impaired longitudinal growth and pubertal development, undesirable fertility outcomes, ocular complications, bone mineral diseases and potential malignancies.CONCLUSION: This review discusses and summarises the non-renal outcomes of idiopathic childhood NS.

U2 - 10.1111/apa.15035

DO - 10.1111/apa.15035

M3 - SCORING: Review article

C2 - 31561270

VL - 109

SP - 460

EP - 470

JO - ACTA PAEDIATR

JF - ACTA PAEDIATR

SN - 0803-5253

IS - 3

ER -