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Síndrome nefrótico congénito - Treatment

Nombres alternativos

Síndrome nefrótico de tipo congénito

Tratamiento:

Se requiere un tratamiento agresivo y oportuno para controlar el trastorno.

El tratamiento puede abarcar:

  • Antibióticos para controlar las infecciones
  • Medicamentos para la presión arterial llamados inhibidores ECA
  • Diuréticos para eliminar el exceso de líquido
  • Antinflamatorios no esteroides (AINES) como indometacina para reducir la acumulación de proteína en la orina

Se pueden restringir los líquidos para ayudar a controlar la hinchazón.

Se puede recomendar la diálisis, al igual que la extirpación y trasplante de riñón.

Expectativas (pronóstico):

El trastorno frecuentemente ocasiona infección, desnutrición e insuficiencia renal. A menudo lleva a la muerte hacia la edad de 5 años y muchos niños mueren dentro del primer año. En algunos casos, el síndrome nefrótico congénito se puede controlar eficazmente con un tratamiento oportuno y agresivo, incluyendo el trasplante precoz del riñón.

Complicaciones:

Situaciones que requieren asistencia médica:

Consulte con el médico si su hijo tiene síntomas del síndrome nefrótico congénito.

  • Reviewed last on: 8/19/2009
  • Parul Patel, MD, Private Practice specializing in Nephrology and Kidney and Pancreas Transplantation, Affiliated with California Pacific Medical Center, Department of Transplantation, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Nephrotic syndrome. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap. 527.

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