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Journal of the Korean Society of Pediatric Nephrology 2009;13(2): 242-247. doi: https://doi.org/10.3339/jkspn.2009.13.2.242
사춘기에 말기 신질환으로 조기 진행한 소아 제1형 당뇨병성 신병증 1례
윤지은, 권순길, 하태선
1충북대학교 의과대학 소아과학교실
2충북대학교 의과대학 내과학교실
3충북대학교 의과대학 소아과학교실
A Case of Diabetic Nephropathy Progressed to End-Stage Renal Disease in an Adolescent with Type 1 Diabetes
Ji-Eun Yoon, Soon-Kil Kwon, Tae-Sun Ha
1Department of Pediatrics, Chungbuk National University College of Medicine
2Department of Internal Medicine, Chungbuk National University College of Medicine
3Department of Pediatrics, Chungbuk National University College of Medicine
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ABSTRACT
Type 1 diabetes mellitus (T1DM) commonly occurs in childhood and adolescence and diabetic nephropathy is a serious metabolic complication of T1DM that leads to serious morbidity. With poor glycemic control prepubertal diabetes duration contributes to the risk of long-term microvascular complications, however, the younger age at onset or longer prepubertal diabetes duration seems to prolong the time to development of microalbuminuria or later end-stage renal disease (ESRD). Therefore, there have been a few cases of diabetic nephropathy in prepubertal patients and therefore the ESRD cases developed during adolescence in T1DM children were very rare. Here we report an adolescent with T1DM who had poor glycemic control and was diagnosed as diabetic nephropathy in a prepubertal period and leading to end-stage renal disease during adolescence.
Key words: Diabetic nephropathy | Type 1 diabetes mellitus | End-stage renal disease | Adolescence
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