Nephropathic Cystinosis in Children: A Ten Year Experience from a Pediatric Nephrology Center in Mashhad, North East of Iran | ||
Journal of Pediatric Perspectives | ||
مقاله 4، دوره 12، شماره 10، دی 2024، صفحه 19098-19101 اصل مقاله (270.97 K) | ||
نوع مقاله: original article | ||
شناسه دیجیتال (DOI): 10.22038/jpp.2024.84274.5510 | ||
نویسندگان | ||
Nasrin Moazzen1؛ Fatemeh Shahrahmani2؛ Anoush Azarfar3؛ Yalda Ravanshad4؛ Alireza Ataei Nakhaee5؛ Ali Khakshour1؛ mojtaba lotfi1؛ Sepideh Bagheri* 1 | ||
1Clinical Research Development Unit of Akbar hospital, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran. | ||
2Medical Student, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. | ||
3Department of Pediatric Nephrology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. | ||
4Department of Social Medicine, Azad University of Medical Sciences, Mashhad, Iran. | ||
5Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. | ||
چکیده | ||
Background: Nephropathic cystinosis is a rare autosomal recessive lysosomal storage disease. Its clinical manifestations include: failure to thrive, fanconi syndrome, ocular findings, growth retardation and end stage renal disease. Methods: This was a retrospective chart review of patients with a diagnosis of nephropathic cystinosis over a ten year period in Dr. Sheikh Children’s Hospital in Mashhad, North East of Iran. Results: 20 patients were included in the study. The most common symptoms leading to the diagnosis were failure to thrive, polyuria, and polydipsia. Kidney involvement was reported in 77% of patients. End stage renal disease was reported in 10% and 2 patients had died because of that. Extrarenal manifestations included: hypothyroidism (25%), anemia (55.5%) and hypophosphatemic rickets (80%). Conclusion: The most important complication of nephropathic cystinosis is end stage kidney disease. Early diagnosis and timely treatment with cysteamin can prevent or delay the complications. | ||
کلیدواژهها | ||
Cystinosis؛ Cysteamine؛ ESRD؛ Nephropathy | ||
مراجع | ||
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