Blood Pressure Differences in Nephrotic Syndrome Patients with Steroid Resistant Nephrotic Syndrome Patients and Steroid Sensitive Nephrotic Syndrome

Authors

  • Muhammad Akbar Department of Child Health, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
  • Oke Rina Ramayani Department of Child Health, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
  • Gema Nazri Yanni Department of Child Health, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.6315

Keywords:

Nephrotic syndrome, Steroid resistant, Sensitive steroids, Blood pressure

Abstract

BACKGROUND: Syndrome nephrotic is the most common kidney disease found in pediatric kidney disease, classification based on clinical response to steroids or histopathological characteristics. Increased blood pressure in steroid-resistant nephrotic syndrome (NS) is still a complication to be aware of in cases of NS.

AIM: The aim of the study was to determine the differences in systolic and diastolic blood pressure in patients with steroid-sensitive NS and steroid-resistant NS.

METHODS: Analytical correctional study in 50 children with NS divided into 25 Steroid Resistant NS (SRNS) groups and 25 steroid sensitive NS (SSNS) people who met inclusion and exclusion criteria to assess systolic and diastolic blood pressure in each group in pediatric nephrology division of the general hospital of Haji Adam Malik Medan.

RESULTS: There is a difference in systolic blood pressure in the SRNS and SSNS groups which mean p = 0.024 and there is no difference in diastolic blood pressure in the SRNS group with SSNS p = 0.358. If linked levels of proteinuria to blood pressure, systolic and diastolic in both groups found no significant link p>0.05 high blood pressure with the degree of proteinuria in both group.

CONCLUSION: There are differences in systolic blood pressure in the SRNS and SSNS groups.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Beattie J. Nephrotic syndrome. In: Beattie J, editors. Guideline for the Management of Nephrotic Syndrome. Renal Unit Royal Hospital for Sick Children Yorkhill Division. 1st ed. Scotland: Renal Clinicians Group; 2007. p. 2-8.

Roy RR, Islam R, Matin A, Khan R, Muinuddi G, Rahman H, et al. Relationship of childhood idiopathic neprhotic syndome with asthma, hypertension, complement C3, urinalysis. Bangladesh J Child Health. 2011;35(1):11-5. https://doi.org/10.3329/bjch.v35i1.10367 DOI: https://doi.org/10.3329/bjch.v35i1.10367

Mamesah RS, Umboh A, Gunawan S. Hubungan aspek klinis dan Laboratorium dengan sindrom nefrotik pada Anak. J E Clin. 2016;4(1):349-53. https://doi.org/10.35790/ecl.4.1.2016.10981 DOI: https://doi.org/10.35790/ecl.4.1.2016.10981

Krishnan RG. Nephrotic syndrome. Pediatr Child Health. 2012;22(8):337-40. DOI: https://doi.org/10.1016/j.paed.2012.02.004

Viswanath D. Nephrotic syndrome in children. J Indian Acad Oral Med Radiol. 2013;25(1):18-23. DOI: https://doi.org/10.5005/jp-journals-10011-1333

Seeman T, Patzer L, John U, Dušek J, Vondrák K, Janda J, et al. Blood pressure, renal function, and proteinuria in children with unilateral renal agenesis. Kidney Blood Pressure Res. 2006;29:210-5. https://doi.org/10.1159/000095735 PMid:16960459 DOI: https://doi.org/10.1159/000095735

Trihono PP, Wulandari N, Supriyatno B. Asymptomatic proteinuria in Indonesia adolescent students. Saudi J Kidney Dis Transpl. 2010;30:694-700. https://doi.org/10.4103/1319-2442.261347 DOI: https://doi.org/10.4103/1319-2442.261347

Hilmanto D, Rossanti R. Sindrom nefrotik sensitif steroid. In: Rachmadi D, Sekarwana N, Hilmanto D, Garna H, editors. Buku Ajar Nefrologi Anak. Jakarta: IDAI; 2017. p. 213-12. https://doi.org/10.15395/mkb.v43n3.55 DOI: https://doi.org/10.15395/mkb.v43n3.55

Edison M, Meunier M, Miller N. The evaluation of a 19-year-old with hypertension and proteinuria: A case report. J Primary Care Community Health. 2019;10:1-5. https://doi.org/10.1177/2150132719843437 PMid:31064291 DOI: https://doi.org/10.1177/2150132719843437

Buyukacvi MA, Civilibal M, Elevli M, Selcuk Duru HN. Hypo-and hypervolemic edema in children with steroid sensitive nephrotic syndrome. Turk J Med Sci. 2015;45(1):178-83. https://doi.org/10.3906/sag-1312-130 PMid:25790549 DOI: https://doi.org/10.3906/sag-1312-130

Pramana PD, Mayetti M, Kadri H. Hubungan antara proteinuria dan hipoalbuminemia pada anak dengan sindrom nefrotik yang dirawat di RSUP Dr. M. Djamil Padang periode 2009-2012. J Kesehatan Andalas. 2013;2(2):90-3. https://doi.org/10.25077/jka.v2i2.127 DOI: https://doi.org/10.25077/jka.v2i2.127

Nilawati GA. Profil sindrom nefrotik pada ruang perawatan anak RSUP Sanglah Denpasar. Sari Pediatr. 2012;14(4):269-72. https://doi.org/10.14238/sp14.4.2012.269-72 DOI: https://doi.org/10.14238/sp14.4.2012.269-72

Sudihardjo W, Prasetyo RV, Umijati S. Clinical profile of children with steroid-sensitive idiopathic nephrotic syndrome relapsing in the first year at Dr. Soetomo hospital, Surabaya. FMI. 2012;48:180-5.

Shatat IF, Becton LJ, Woroniecki RP. Hypertension in childhood nephrotic syndrome. Front Pediatr. 2019;7:287. https://doi.org/10.3389/fped.2019.00287 PMid:31380323 DOI: https://doi.org/10.3389/fped.2019.00287

Ray EC, Rondon-Berrios H, Boyd CR, Kleyman TR. Sodium retention and volume expansion in nephrotic syndrome: Implications for hypertenion. Adv Chronic Kidney Dis. 2015;22(3):179-84. https://doi.org/10.1053/j.ackd.2014.11.006 PMid:25908466 DOI: https://doi.org/10.1053/j.ackd.2014.11.006

Monthe KL, Liccioli G, Pela I. Blood pressure in children with minimal change nephrotic syndrome during oedema and after steroid therapy: The influence of familial essential hypertension. Kidney and Blood Pressure Res. 2009;32(4):258-62.https://doi.org/10.1159/000238823 PMid:1975257 DOI: https://doi.org/10.1159/000238823

Downloads

Published

2021-09-11

How to Cite

1.
Akbar M, Ramayani OR, Yanni GN. Blood Pressure Differences in Nephrotic Syndrome Patients with Steroid Resistant Nephrotic Syndrome Patients and Steroid Sensitive Nephrotic Syndrome. Open Access Maced J Med Sci [Internet]. 2021 Sep. 11 [cited 2024 May 8];9(T3):345-8. Available from: https://oamjms.eu/index.php/mjms/article/view/6315

Most read articles by the same author(s)