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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2006-8-25
pubmed:abstractText
The aim of the study was to analyze systematically our observation that children with severe nephrotic syndrome (NS) have hyperphosphatemia despite normal kidney function. Forty-seven children with NS and normal glomerular filtration rate (GFR) were studied [26 with steroid-sensitive nephrotic syndrome (SSNS) and 21 with persistent NS]. The plasma phosphate level was expressed as the number of standard deviations (SDs) from the mean levels in age- and gender-matched controls. In SSNS plasma phosphate concentration was elevated (+3.7+/-2.0 SDs) during relapse and normalized (-0.7+/-1.7 SDs) in remission. In persistent NS the phosphate level was +4.0+/-2.1 SDs. Patients with marked hyperphosphatemia (>4 SDs) were younger (p<0.001), had lower plasma albumin (p<0.001), and had higher urinary protein levels (p<0.05). Hyperphosphatemia did not correlate with GFR, plasma calcium, or urinary sodium levels. Children with persistent NS had decreased serum 25(OH)D(3) and insulin-like growth factor 1 (IGF-1) concentrations. Hyperphosphatemia is prevalent among children with persistent nephrotic syndrome and normal renal function, correlates with its severity, and may result from increased urinary IGF-1 wasting.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0931-041X
pubmed:author
pubmed:issnType
Print
pubmed:volume
21
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1406-12
pubmed:meshHeading
pubmed-meshheading:16897004-Adolescent, pubmed-meshheading:16897004-Calcium, pubmed-meshheading:16897004-Child, pubmed-meshheading:16897004-Child, Preschool, pubmed-meshheading:16897004-Creatinine, pubmed-meshheading:16897004-Female, pubmed-meshheading:16897004-Glomerular Filtration Rate, pubmed-meshheading:16897004-Humans, pubmed-meshheading:16897004-Infant, pubmed-meshheading:16897004-Insulin-Like Growth Factor I, pubmed-meshheading:16897004-Kidney, pubmed-meshheading:16897004-Male, pubmed-meshheading:16897004-Metabolic Diseases, pubmed-meshheading:16897004-Nephrotic Syndrome, pubmed-meshheading:16897004-Phosphates, pubmed-meshheading:16897004-Prevalence, pubmed-meshheading:16897004-Retrospective Studies, pubmed-meshheading:16897004-Severity of Illness Index, pubmed-meshheading:16897004-Sodium
pubmed:year
2006
pubmed:articleTitle
Hyperphosphatemia is prevalent among children with nephrotic syndrome and normal renal function.
pubmed:affiliation
Division of Pediatric Nephrology, Shaare Zedek Medical Center, P.O. Box 3235, Jerusalem 91031, Israel.
pubmed:publicationType
Journal Article