Iodine-induced hypothyroidism in infants treated with continuous cyclic peritoneal dialysis.
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Biomedical subjects
Publications and source records attributed to F C Abbad.
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Referring to a patient operated on the third day of life for pyeloureteral stenosis the 'prune belly' syndrome is described. The syndrome is delineated by urinary tract anomalies, undescended testicles and a prune like abdominal wall. Several other anomalies are commonly seen. In this patient the megaureters, the vesicoureteral reflux and megacystis are considered part of the syndrome. The pyeloureteral stenosis was only seen once before in a succumbed newborn.
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Short term response to single dose of Captopril has been studied in 7 severely hypertensive children. Blood pressure fell within one hour in patients with a non-hypervolemic state. Longterm treatment (average 19 months) of 5 children with refractory hypertension resulted in a sustained blood pressure control. No side-effects had been observed. It is concluded, that Captopril is useful in children with acute severe hypertension. Longterm treatment should be limited to children with refractory hypertension.
In the period January 1980 to January 1982 five small children with acute renal failure were treated with continuous ambulatory peritoneal dialysis (CAPD) to overcome the catabolic state of the anuric stage. A free diet was allowed during this period except for slight restriction in fluid intake. Weight gain was only observed in one child, whereas in the others no significant change of body weight was noticed. CAPD treatment was terminated as renal function improved and a creatinine clearance of 20 ml/min/1.73m2 was achieved.
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