Oligomeganephronia Follow-up

Updated: Oct 04, 2018
  • Author: Pascale H Lane, MD; Chief Editor: Craig B Langman, MD  more...
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Follow-up

Further Outpatient Care

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  • Long-term follow-up care

    • Oligomeganephronia is a chronic progressive renal disease that leads invariably to renal failure.

    • Assessment of renal function, biochemical status, and growth is necessary to manage this condition and to provide optimal care.

    • Fuke et al reported a case of a 23-year-old man with oligomeganephronia that did not progress to end-stage renal failure. Clinical features included renal insufficiency, persistent proteinuria, and bilateral small kidneys. Renal pathology revealed greatly enlarged glomeruli (mean diameter, 325 μm, which was approximately 2 times larger than normal). [6]

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Complications

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  • Complications of chronic renal disease include growth failure, metabolic bone disease, anemia, metabolic acidosis, and other disorders of fluid and electrolyte metabolism.

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Prognosis

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  • Oligomeganephronia is progressive and results in chronic renal failure and end-stage renal disease (ESRD).

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Patient Education

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  • Patients with oligomeganephronia and their parents or caregivers need to understand the chronic progressive nature of this condition and the need for long-term follow-up care to maximize growth and to prolong renal function.

  • If an associated syndrome is present, offer genetic counseling and education to the patient and family.

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