Predictive factor of severe renal involvement in children with Henoch-Schoenlein purpura.

Objective: To find out which of the clinical manifestations or laboratory findings is the predictive factor of severe renal involvement in children with Henoch-Schoenlein purpura (HSP).

Material And Method: Data of clinical manifestations and laboratory findings in children with HSP at Queen Sirikit National Institute of Child Health between January 2003-December 2007 were prospectively collected and analyzed.

Results: There were 168 cases, 86 boys and 82 girls (M:F ratio= 1.

Pericardial effusion in childhood nephrotic syndrome.

Background: Nephrotic syndrome (NS) is one of the most common renal diseases in children, which is defined as idiopathic NS and secondary NS. Current data on adult showed that pericardial effusion was related only to SLE, but not to non-SLE nephrotic patients. Until now there were no studies about children.

Assessment of the different methods to predict equilibrated Kt/V in pediatric hemodialysis.

Objectives: To determine the degree of urea rebound in children on hemodialysis and compare the different calculation models for Kt/V.

Material And Method: The present study was performed in 50 hemodialysis sessions of 5 pediatric patients, 2 males and 3 females, aged 5-18 years, who had received hemodialysis for 7-48 months. Blood urea samples were obtained at the beginning, 70 minutes intradialysis, the end and every 10 minutes for 1 hour post- dialysis.

Intussusception associated with a relapsing nephrotic patient: a case report.

Background: Gastrointestinal disturbances are encountered frequently in the course of the nephrotic syndrome but intussusception is a rare association. It may be the result of incoordinate motility and bowel wall edema.

Objective: To report a case of intussusception associated with relapsing nephrotic syndrome.

Out-patient antibiotics switch therapy in pediatric urinary tract infection.

Objective: To compare the outcomes of out-patient antibiotics switch therapy with the treatment provided in the hospital among pediatric urinary tract infection (UTI) cases.

Material And Method: A comparative study was carried out using the febrile UTI patients of age 1 month-15 years in the observation room (OPD), Queen Sirikit National Institute of Child Health, Bangkok, Thailand, from 1st January 2000 to 31st December 2000 and the admitted pediatric UTI cases during the same period. The treatment at the OPD was started with parenteral antibiotics, then switched to oral form when the patients were clinically improved and defervesence occurred.