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.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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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 -