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Ethiopian journal of health sciences. 2025 Mar;35(2):92-95. doi: 10.4314/ejhs.v35i2.4 Q31.52025

Outcome of Renal Tissue Biopsy in Children and Adolescents Presenting with Features of Nephropathy at a Tertiary Hospital in Nigeria

尼日利亚一家三级医疗机构儿科和青少年肾病患者的肾组织活检结果 翻译改进

Olanrewaju Timothy Adedoyin  1, Olayinka Mikhail Buhari  2, Olayinka Rasheed Ibrahim  3, Olanrewaju Olubukola Oyedepo  4, Olusola Abidemi M Adesiyun  5, Abdurrazzaq Alege  6, Harrifatta Difirwiti  1

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作者单位

  • 1 Department of Pediatrics, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
  • 2 Department of Pathology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
  • 3 Department of Pediatrics, Division of Clinical Medicine, University of Global Health Equity, Kigali, Rwanda.
  • 4 Department of Anaesthesia, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
  • 5 Department of Radiology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
  • 6 Department of Pediatrics, Federal Teaching Hospital, Katsina, Nigeria.
  • DOI: 10.4314/ejhs.v35i2.4 PMID: 40511270

    摘要 中英对照阅读

    Background: Oedematous renal lesions are significant chronic kidney diseases in childhood, with causes that may vary, especially in light of emerging illnesses like coronavirus, environmental pollution, and climate change. This study aimed to determine the histopathologic characteristics of oedematous renal lesions in children seen at a tertiary health facility in north-central Nigeria between January 2010 and December 2023.

    Methods: This was a prospective study conducted on all children aged 2-18 years who presented with features of oedematous renal lesions between January 2010 and December 2023 at a health facility in north-central Nigeria. All eligible patients underwent renal biopsy.

    Results: A total of 66 children with oedematous renal lesions were biopsied, comprising 35 males and 31 females, with a male-to-female ratio of 1.2:1. The age range of the subjects was 2-18 years, with a mean ± standard deviation (SD) of 7.8 ± 3.8 years. Of the 66 patients who consented to the biopsy, the histological findings were as follows: Minimal Change Nephropathy (MCNS)(n= 35, 53.0%), membranoproliferative glomerulonephritis (MPGN) (n=5, 7.6%), post-infectious glomerulonephritis (PSAGN) (n=3, 4.5%), and focal segmental glomerulosclerosis (FSGS)(n= 2, 3.0%).

    Conclusion: This study shows that the predominant histopathologic characteristic of childhood oedematous renal lesions was MCNS in the cohort of children studied.

    Keywords: Biopsy; Child; Nigeria; Oedema.

    Keywords:renal tissue biopsy; children and adolescents; nephropathy; tertiary hospital; nigerian patients

    背景:

    水肿性肾病变是儿童时期重要的慢性肾脏疾病,其病因可能多种多样,特别是在考虑到新兴疾病如冠状病毒、环境污染和气候变化的情况下。本研究旨在确定2010年1月至2023年12月期间在尼日利亚中部地区一家三级医疗机构就诊的儿童中水肿性肾病变的组织病理学特征。

    方法:

    这项前瞻性研究对所有年龄在2至18岁之间,在2010年1月至2023年12月期间因表现出水肿性肾病变症状而在尼日利亚中部地区一家医疗机构就诊的儿童进行。所有符合条件的患者均接受了肾脏活检。

    结果:

    共有66名患有水肿性肾病变的儿童接受了活检,其中包括35名男性和31名女性,男女比例为1.2:1。受试者的年龄范围是2至18岁,平均±标准差(SD)为7.8 ± 3.8岁。在同意接受活检的66名患者中,组织学发现如下:微小病变性肾病(MCNS)(n= 35, 53.0%)、膜增生性肾炎(MPGN) (n=5, 7.6%)、感染后肾炎(PSAGN) (n=3, 4.5%) 和局灶节段性肾小球硬化症(FSGS)(n= 2, 3.0%)。

    结论:

    本研究表明,在研究的儿童群体中,水肿性肾病变的主要组织病理学特征是微小病变性肾病(MCNS)。

    关键词:

    活检;儿童;尼日利亚;水肿。

    关键词:肾组织活检; 儿童和青少年; 肾病; 三级医院; 尼日利亚患者

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    期刊名:Ethiopian journal of health sciences

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    ISSN:1029-1857

    e-ISSN:2413-7170

    IF/分区:1.5/Q3

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