RENAL TUBULAR DYSGENESIS WITHOUT PULMONARY HYPOPLASIA

被引:11
作者
SCARCELLA, A
PECORARO, C
DAGNELLO, MR
SOLE, AN
机构
[1] Department of Paediatrics, University Federico II, Naples
关键词
POTTER SEQUENCE; RENAL TUBULAR DYSGENESIS; OLIGOHYDRAMNIOS; PULMONARY HYPOPLASIA; RENAL FAILURE;
D O I
10.1007/BF00865484
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Only a few cases of renal tubular dysgenesis (RTD) have been diagnosed. RTD is associated with a very early death, always due to lethal pulmonary hypoplasia. We report an additional patient, interesting for two reasons: (1) the rarity of RTD, (2) the absence of microscopic and macroscopic anatomical alterations of the lungs. The infant had only a mild, transient pulmonary maladaptation; after a few days of life the pulmonary function returned to normal. Although renal function dramatically improved after institution of peritoneal dialysis at 6 days of life, the patient died after 2 weeks with an overwhelming Candida sepsis. We suggest that the lack of pulmonary hypoplasia might be due to a short exposure to oligohydramnios.
引用
收藏
页码:216 / 217
页数:2
相关论文
共 12 条
[1]  
Allanson J.E., Pantzar J.T., MacLeod P.M., Possible new autosomal recessive syndrome with unusual renal histopathological changes, Am J Med Genet, 16, pp. 57-60, (1983)
[2]  
Thomas I.T., Smith D.W., Oligohydramnios, cause of the nonrenal features, Potter's syndrome, including pulmonary hypoplasia, J Pediatr, 84, pp. 811-814, (1974)
[3]  
Allanson J.E., Hunter G.W., Mettler G.S., Jimenez C., Renal tubular dysgenesis: a not uncommon autosomal recessive syndrome: a review, Am J Med Genet, 43, pp. 811-814, (1992)
[4]  
Hjalmarson O., Epidemiology and classification of acute, neonatal respiratory disorders a prospective study, Acta Paediatr Scand, 70, pp. 773-783, (1981)
[5]  
Schwartz B.R., Lage J.M., Pobar B.R., Driscoll S.G., Isolated congenital renal tubular immaturity in siblings, Hum Pathol, 17, pp. 1259-1263, (1986)
[6]  
Voland J.R., Hawkins E.P., Wells T.R., Saunders B., Jones M., Bernischke K., Congenital hypernephrotic nephromegaly with tubular dysgenesis: a distinctive inherited renal anomaly, Pediatr Pathol, 4, pp. 231-245, (1985)
[7]  
Bernstein J., Renal tubular dysgenesis, Pediatr Pathol, 8, pp. 453-456, (1988)
[8]  
Swinford A.E., Bernstein J., Toriello H.V., Higgins J.V., Renal tubular dysgenesis. Delayed onset of oligohydramnios, Am J Med Genet, 32, pp. 127-132, (1989)
[9]  
Wigglesworth J.S., Lung development in second trimester, Br Med Bull, 44, pp. 898-908, (1988)
[10]  
Adzick N.S., Harrison, Glick P.L., Villa R.L., Finkbeiner W., Experimental pulmonary hypoplasia and oligohydramnios: relative contributions of lung fluid and fetal breathing movements, J Pediatr Surg, 19, pp. 658-663, (1984)