A case of bilateral renal hypoplasia and neonatal hemochromatosis

Neonatal hemochromatosis is a severe, often fatal multiorgan disorder of iron metabolism. We report a case of neonatal hemochromatosis associated with bilateral renal hypoplasia. The patient also had congenital intestinal atresia and meconium peritonitis. The radical operation was performed for cong...

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Veröffentlicht in:Japanese journal of pediatric nephrology 2011/04/15, Vol.24(1), pp.68-73
Hauptverfasser: Hattori, Kiyoko, Nakazato, Hitoshi, Kawano, Tomoyasu, Satoh, Ayumi, Tamura, Hiroshi, Matsumoto, Shirou, Ichihara, Junko, Karashima, Mami, Tanaka, Kenichi, Iwai, Masanori, Itoh, Norihiro, Nishi, Kazuhiko, Mitsubuchi, Hiroshi, Kondo, Yuichi, Endo, Fumio
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container_end_page 73
container_issue 1
container_start_page 68
container_title Japanese journal of pediatric nephrology
container_volume 24
creator Hattori, Kiyoko
Nakazato, Hitoshi
Kawano, Tomoyasu
Satoh, Ayumi
Tamura, Hiroshi
Matsumoto, Shirou
Ichihara, Junko
Karashima, Mami
Tanaka, Kenichi
Iwai, Masanori
Itoh, Norihiro
Nishi, Kazuhiko
Mitsubuchi, Hiroshi
Kondo, Yuichi
Endo, Fumio
description Neonatal hemochromatosis is a severe, often fatal multiorgan disorder of iron metabolism. We report a case of neonatal hemochromatosis associated with bilateral renal hypoplasia. The patient also had congenital intestinal atresia and meconium peritonitis. The radical operation was performed for congenital intestinal atresia at one-day-old. After surgery, oliguria occurred and renal disorder progressed to chronic renal failure. Subsequently, liver dysfunction and hyperferritinemia appeared. Bilateral hypoplastic kidney was diagnosed by CT scan, and MRI demonstrated abnormal iron deposition in the liver, pancreas and renal cortex at 2-month-old, indicating hemochromatosis. The hemochromatosis slowly improved by withdrawal of blood and oral vitamin E. Peritoneal dialysis was initiated for chronic renal failure at 10-month-old. We conclude that this is a very rare case of renal hypoplasia complicated with neonatal hemochromatosis.
doi_str_mv 10.3165/jjpn.24.68
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source J-STAGE Free; EZB-FREE-00999 freely available EZB journals
subjects neonatal hemochromatosis
peritoneal dialysis
renal hypoplasia
title A case of bilateral renal hypoplasia and neonatal hemochromatosis
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