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Primary hyperoxaluria: the pediatric nephrologist's point of view
The clinical presentation of primary hyperoxaluria in children ranges from mildly symptomatic nephrocalcinosis to very early onset end-stage kidney failure with systemic oxalosis, a devastating complication. We review the various manifestations of pediatric hyperoxaluria, treatment options for child...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9113416/ https://www.ncbi.nlm.nih.gov/pubmed/35592624 http://dx.doi.org/10.1093/ckj/sfab231 |
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author | Ben-Shalom, Efrat Garrelfs, Sander F Groothoff, Jaap W |
author_facet | Ben-Shalom, Efrat Garrelfs, Sander F Groothoff, Jaap W |
author_sort | Ben-Shalom, Efrat |
collection | PubMed |
description | The clinical presentation of primary hyperoxaluria in children ranges from mildly symptomatic nephrocalcinosis to very early onset end-stage kidney failure with systemic oxalosis, a devastating complication. We review the various manifestations of pediatric hyperoxaluria, treatment options for children with preserved kidney function and appropriate dialysis regimens. Liver or combined liver/kidney transplantation is currently the only definitive treatment for primary hyperoxaluria type 1, but novel RNA interference treatments offer hope for the future. Finally, we address the medical and ethical dilemmas facing pediatricians treating children with hyperoxaluria. |
format | Online Article Text |
id | pubmed-9113416 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-91134162022-05-18 Primary hyperoxaluria: the pediatric nephrologist's point of view Ben-Shalom, Efrat Garrelfs, Sander F Groothoff, Jaap W Clin Kidney J CKJ Review The clinical presentation of primary hyperoxaluria in children ranges from mildly symptomatic nephrocalcinosis to very early onset end-stage kidney failure with systemic oxalosis, a devastating complication. We review the various manifestations of pediatric hyperoxaluria, treatment options for children with preserved kidney function and appropriate dialysis regimens. Liver or combined liver/kidney transplantation is currently the only definitive treatment for primary hyperoxaluria type 1, but novel RNA interference treatments offer hope for the future. Finally, we address the medical and ethical dilemmas facing pediatricians treating children with hyperoxaluria. Oxford University Press 2022-05-17 /pmc/articles/PMC9113416/ /pubmed/35592624 http://dx.doi.org/10.1093/ckj/sfab231 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the ERA. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | CKJ Review Ben-Shalom, Efrat Garrelfs, Sander F Groothoff, Jaap W Primary hyperoxaluria: the pediatric nephrologist's point of view |
title | Primary hyperoxaluria: the pediatric nephrologist's point of view |
title_full | Primary hyperoxaluria: the pediatric nephrologist's point of view |
title_fullStr | Primary hyperoxaluria: the pediatric nephrologist's point of view |
title_full_unstemmed | Primary hyperoxaluria: the pediatric nephrologist's point of view |
title_short | Primary hyperoxaluria: the pediatric nephrologist's point of view |
title_sort | primary hyperoxaluria: the pediatric nephrologist's point of view |
topic | CKJ Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9113416/ https://www.ncbi.nlm.nih.gov/pubmed/35592624 http://dx.doi.org/10.1093/ckj/sfab231 |
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