Avtor/Urednik		Fettich, JJ; Kenda, R
Naslov		Importance of vesicoureteral reflux in asymptomatic siblings of children with reflux
Tip		članek
Vir		In: Domenech-Torne FM, Hahn K, Roca I, editors. 1st European symposium on pediatric nuclear medicine; 1992 Mar 21-21; Barcelona. Barcelona: Institut Catala de la Salut,
Leto izdaje		1992
Obseg		str. 179-81
Jezik		eng
Abstrakt		The purpose of the study was to determine the incidence of vesicoureteral reflux (VUR), renal scars and hypertension in asymptomatic siblings of children with VUR. 105 siblings of patients with VUR were studied. Their age ranged from 4 months to 6 years and 4 months. Ali had a direct radionuclide voiding cystography (DRVC) performed. VUR was detected in 47/105 (45 percent). Most high grade VURs were seen within the first year of age, their incidence being 50 percent compared with only 9 percent in siblings older than 2 years. Only 1 or the 27 siblings with VUR grade 1 was younger than 1 year. In 43 of 47 siblings with VUR, 99mTc-DMSA was performed and renal scars were found in 10, which presents 23 percent of siblings with VUR and 10 percent of all siblings studied. One child had hypertension. Early identifying VUR among asymptomatic siblings could possibly prevent renal damage and its consequences. The predictive value of positive family history alone in identifying VUR was 45 percent and 23 percent of siblings with VUR were found to have renal scars. This appears high enough to justify the routine investigation of asymptomatic siblings, by using DRVC at an early age.
Deskriptorji		VESICO-URETERAL REFLUX INFANT CHILD, PRESCHOOL HYPERTENSION, RENAL KIDNEY FAILURE FAMILY