Anasarca and Acute Kidney Injury in an Adolescent Girl

  • Suchismita Saha Postgraduate Student, Division of Paediatric Nephrology, Lady Hardinge Medical College and Associated Kalawati Saran Children Hospital, New Delhi, India.
  • Aditi Das Senior Resident, Division of Paediatric Nephrology, Lady Hardinge Medical College and Associated Kalawati Saran Children Hospital, New Delhi, India.
  • Menka Yadav Assistant Professor, Division of Paediatric Nephrology, Lady Hardinge Medical College and Associated Kalawati Saran Children Hospital, New Delhi, India.
  • Prajal Agarwal Assistant Professor, Division of Paediatric Nephrology, Lady Hardinge Medical College and Associated Kalawati Saran Children Hospital, New Delhi, India.
  • Abhijeet Saha Professor, Division of Paediatric Nephrology, Lady Hardinge Medical College and Associated Kalawati Saran Children Hospital, New Delhi, India.
Keywords: AKI, Lupus nephritis, Haemodialysis

Abstract

A 17-year-old adolescent female presented with complaints of generalised swelling and pain in the abdomen since 15 days and fever since 10 days. Initial investigations were suggestive of Nephrotic Syndrome with Acute Kidney Injury (AKI). Considering the age and gender of the patient, a workup for secondary causes of Nephrotic Syndrome was sent. After admission, her AKI worsened as she developed oliguria and progressively rising serum creatinine levels. Simultaneously, she developed various complications associated with AKI. Considering multiple indications, she was started on renal replacement therapy; initially on peritoneal dialysis and later shifted to haemodialysis. Once the diagnosis was established, she was started on treatment for the same. When AKI improved following renal replacement therapy, she was discharged on oral medications and planned to be followed up on an outpatient basis.

How to cite this article:
Saha S, Das A, Yadav M, Agarwal P, Saha A. Anasarca and Acute Kidney Injury in an Adolescent Girl. Postgrad J Pediatr Adol Med. 2022;1(1):29-33.

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Published
2022-04-02