PMID: 9175949May 1, 1997Paper

Renal calcification in preterm infants: follow up at 4-5 years

Archives of Disease in Childhood. Fetal and Neonatal Edition
C A JonesB A Judd

Abstract

To determine the consequences of renal calcification in preterm infants. A cohort of 11 preterm babies was studied at the age of 4 to 5 years. They had had renal calcification as neonates. Seventeen matched controls were also studied. Each child had a renal ultrasound scan, a calcium load test, and a desmopressin test for renal concentrating ability (RCA). The study group also had glomerular filtration rate (GFR) estimated, using the height:creatinine ratio, and tubular phosphate reabsorption, without phosphate load, per glomerular filtration rate (Tp/GFR) calculated, In the study group the median GFR was 61 ml/min/1.73m2 (range 46-79 ml/min/1.73m2) and the median calculated Tp/GFR SD score was -0.94 (range -2.8-0.68). Five children out of the study group had ultrasonic evidence of renal calcification. There was no significant difference between the two groups in renal size, calciuria, before or after calcium load, or RCA. Eight children (three patients, five controls) had an abnormal calcium load test. The RCA of the children in the study and control groups combined was below that of published values, with a median calculated SD score -0.71 (95% CI -1.21 to -0.23). There was evidence of renal dysfunction in children who had be...Continue Reading

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Citations

May 3, 2011·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Vasileios GiaprosStyliani Andronikou
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