A Case of Diabetic Nephropathy Progressed to End-Stage Renal Disease in an Adolescent with Type 1 Diabetes.
- Author:
Ji Eun YOON
1
;
Soon Kil KWON
;
Tae Sun HA
Author Information
1. Department of Pediatrics, Chungbuk National University College of Medicine, Cheongju, Korea. tsha@chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Diabetic nephropathy;
Type 1 diabetes mellitus;
End-stage renal disease;
Adolescence
- MeSH:
Adolescent;
Child;
Diabetes Mellitus;
Diabetes Mellitus, Type 1;
Diabetic Nephropathies;
Humans;
Kidney Failure, Chronic
- From:Journal of the Korean Society of Pediatric Nephrology
2009;13(2):242-247
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Type 1 diabetes mellitus (T1DM) commonly occurs in childhood and adolescence and diabetic nephropathy is a serious metabolic complication of T1DM that leads to serious morbidity. With poor glycemic control prepubertal diabetes duration contributes to the risk of long-term microvascular complications, however, the younger age at onset or longer prepubertal diabetes duration seems to prolong the time to development of microalbuminuria or later end-stage renal disease (ESRD). Therefore, there have been a few cases of diabetic nephropathy in prepubertal patients and therefore the ESRD cases developed during adolescence in T1DM children were very rare. Here we report an adolescent with T1DM who had poor glycemic control and was diagnosed as diabetic nephropathy in a prepubertal period and leading to end-stage renal disease during adolescence.
