The objective of this study was to determine the correlation between ultrasonographic kidney sizes and glomerular filtration rate (GFR) in healthy children. This was a cross-section study on 116 healthy children. Renal diseases were ruled out by a paediatric nephrologist. Ultra sonography of both kidneys was carried out by an experienced radiologist. The volume was calculated by ellipsoid formula. We defined net volume as kidney volume-sinus fat volume'. The sum of right and left kidney sizes was defined as total sizes. We calculated GFR by means of the Schwartz formula. Correlations between kidney sizes and GFR were studied with Pearson correlation coefficient. The mean age of the children was 8.4+/-3.4. The GFR mean was 108+/-30 (mL/min per 1.73 m2). GFR correlated to total renal volume (r=0.52, P<0.001), total net volume (r=0.53, P<0.001) and total kidney length (r=0.59, P<0.001). Ultrasonographic kidney sizes, especially the kidney length, correlate to GFR in healthy children. Kidney sizes assessment by ultrasonography may play a role in renal function evaluation in children.
Objective: Congenital hypothyroidism (CH) increases the prevalence of kidney and urogenital malformations. There are limited studies considering different aspects of kidney function in well-controlled CH patients. We evaluated some features of kidney function in euthyroid children with CH who have been receiving thyroxine hormone since early life.Methods: This cross-sectional study was conducted in Isfahan, Iran, on 74 children aged 2-15 years old (36 CH patients and 38 healthy children). Inclusion criteria for CH patients were euthyroidism at the time of the survey and initiation of replacement therapy during the early neonatal period. Kidney ultrasound evaluation was performed in all participants. Serum biochemistry included urea, creatinine, sodium (Na), potassium (K), magnesium, calcium, and cystatin C levels. Urine electrolytes, fraction excretion (FE) of electrolytes and microalbumin, and glomerular filtration rate (GFR) were also determined.Results: The male/female ratio was 0.8/1 and 1.5/1 in the patient and control groups, respectively. Mean age and height did not differ significantly between the two groups. Ultrasound evaluation of the kidney revealed that the anteroposterior diameter of the right kidney was significantly higher in CH patients as compared to healthy subjects. No significant difference was observed between GFRs in patients with CH and healthy children. The mean values for FENa and FEK were significantly higher in the patient group.Conclusions: Increased FENa and FEK may be a manifestation of impaired tubular maturation in CH. More longitudinal studies are needed to evaluate kidney function in CH patients. Conflict of interest:None declared.
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