Many children with chronic kidney disease, even those in whomthe disease is discovered very early, ultimately lose renalfunction; some ultimately progress to stage 5 chronic kidneydisease (end-stage renal disease). Causes of chronic kidneydisease in children differ substantially from those in adults;the largest diagnostic categories in children are congenitalrenal and genitourinary abnormalities; obstructive uropathyor renal hypoplasia–dysplasia are most common, followedby reflux nephropathy and focal segmental glomerulosclerosis.1,2
Despite much evidence that blocking the renin–angiotensinsystem is helpful in treating adults with various nephropathies,3comparable data from randomized, controlled trials involvingchildren are lacking. Although . . . [Full Text of this Article]
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