臨牀透析 Vol.25 No.4(1)


特集名 先天性腎疾患と腎不全
題名 小児末期慢性腎不全患者の原因疾患
発刊年月 2009年 04月
著者 服部 元史 東京女子医科大学腎臓小児科
著者 倉山 亮太 東京女子医科大学腎臓小児科
【 要旨 】 小児末期慢性腎不全症例の原因疾患について,日本小児腎臓病学会腎不全統計調査,日本小児腎移植臨床統計小委員会報告,そして2008年のNAPRTCS報告をもとに概説した.疾患としては,先天性腎尿路奇形,巣状分節性糸球体硬化症,遺伝性疾患が多く,そして腎外症候を有する症候群症例が少なからず認められるのが特徴である.また,小児期に発症して思春期から成人期早期にかけて末期慢性腎不全に陥る症例が多数存在する.小児慢性腎不全患者の疫学を正確に把握することは小児慢性腎臓病対策のうえで重要な事項であり,わが国における小児慢性腎不全統計調査を今後さらに推し進めていく必要がある.
Theme Congenital Kidney Disease and Renal Failure
Title Etiology of pediatric end-stage renal dis-ease
Author Motoshi Hattori Department of Pediatric Nephrology, Tokyo Women's Medical University, School of Medicine
Author Ryota Kurayama Department of Pediatric Nephrology, Tokyo Women's Medical University, School of Medicine
[ Summary ] The etiology of children with end-stage renaldisease (ESRD) is reviewed based on Japanese National Registry data from the Japanese Society for Pediatric Nephrology, data from the Japanese Society for Transplantation, the Japanese Pediatric Kidney Transplant Study Group, and data from the North American Pediatric Renal Trials and Collaborative Studies. Congenital anomalies of the kidney and urinary tract (CAKUT), focal segmental glomerulosclerosis, and hereditary disorders were common causes for ESRD in children. It was noteworthy that a substantial number of pediatric ESRD patients had many extra-renal manifestations. Also, there were many pediatric ESRD patients in the 15 to 19 year old group. More effort to define the epidemiology of pediatric chronic kidney disease (CKD) is essential to develop better treatments for children with CKD.
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