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Revista Colombiana de Nefrología
On-line version ISSN 2500-5006
Abstract
GUERRERO TINOCO, Gustavo Adolfo and DANIELS GARCIA, María José. Solitary functioning kidney and its follow-up in Pediatrics. Rev. colom. nefrol. [online]. 2022, vol.9, n.3, 301. Epub Jan 01, 2023. ISSN 2500-5006. https://doi.org/10.22265/acnef.9.3.593.
Background:
The Solitary functioning kidney (SFK) is an entity that can be congenital type caused by unilateral renal agenesis or multicystic dysplastic kidney, or acquired secondary to unilateral nephrectomy conditioning to a strict routine follow-up, as well as the implementation of some prevention guidelines in pediatric patients.
Purpose:
To analyze the importance of follow-up in pediatric patients with a single functioning kidney.
Methodology:
A review of the literature is made showing embryology, physiology, etiology, clinical aspects and diagnostic studies in patients with SFK in order to subsequently offer guidelines for follow-up and management in pediatric patients.
Results:
Patients with SFK may present compensatory glomerular hyperfiltration, followed by glomerular injury with hypertension, albuminuria and reduced glomerular filtration rate, however, to prevent renal damage a careful clinical, paraclinical and imaging follow-up of every patient with SFK should be performed as the condition warrants.
Conclusions:
It is necessary to unify follow-up guidelines in pediatric patients with SFK and to emphasize those risk factors that predispose to renal compromise.
Keywords : Solitary Kidney; Child; Glomerular Filtration Rate; Hypertension; Renal Insufficiency; Chronic..