Bilquis Lakhany, Jamshed Akhtar, Yasmin Kazi.
Pediatric Urolithiasis as a cause of chronic renal failure.
J Surg Pak Jan ;9(1):30-2.

Objectives: To study the clinical presentation of chronic renal failure (CRF) due to urolithiasis. Type of Study: Descriptive study Place & Duration Study: The study was conducted at National Institute of Child Health, Karachi from January 2002 to June 2002. Patients And Methods: Inclusion criteria: (1) Presence of features of CRF, (2) Creatinine clearance less than 25%. This was measured by using Schwartz formula. Creatinine clearance = Height in cm x 0.55 Serum creatinine All patients under went detailed history and clinical examination. Radioimaging was performed in all cases. Results: Total number of patients was 50. Males were 44(88%). Most common cause of CRF was bilateral renal stone. Common presenting symptoms were anemia (90%) and growth retardation (80%). Significant number of patients were hypertensive. Surgery was done to remove stone in 25 cases. Most common type of stone removed was calcium oxalate (48%). Conclusion: Early detection and prompt treatment of renal stone can prevent progress to CRF and its sequale ERSD.

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