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Down Syndrome with End-Stage Renal Disease
Authors:Vivek B Kute  Aruna V Vanikar  Pankaj R Shah  Manoj R Gumber  Himanshu V Patel  Divyesh P Engineer  Umang G Thakkar  Hargovind L Trivedi
Institution:1. Department of Nephrology and Clinical Transplantation, Institute of Kidney Diseases and Research Centre, Dr H L Trivedi Institute Of Transplantation Sciences (IKDRC-ITS), Civil Hospital Campus, Ahmedabad, 380016, Gujarat, India
2. Laboratory Medicine, Department of Pathology, Transfusion Services and Immunohematology, Institute of Kidney Diseases and Research Centre, Dr H L Trivedi Institute Of Transplantation Sciences, Ahmedabad, India
Abstract:Down syndrome is one of the most common genetic causes of learning disabilities in children. Although the incidence of renal and urological involvement in Down syndrome is not very common, monitoring of patients with Down syndrome for renal diseases should be done regularly as patient’s age into the second and third decades. With increased survival, it appears that a growing number of these patients present with chronic renal failure. Down syndrome patients are apparently not suited for peritoneal dialysis because of lacking cooperation. This procedure can be prone to failure, mainly because of an increased risk of peritonitis. Handling such patients especially those on peritoneal dialysis is challenging. Here we report a case of Down syndrome with end-stage renal disease treated with hemodialysis for 6 months. To the best of our knowledge and current literature review this is the first case report of a patient with Down syndrome undergoing hemodialysis.
Keywords:Down syndrome  End-stage renal disease  Renal transplantation  Renal replacement therapy  Hemodialysis
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