A history of childhood nephrotic syndrome, urinary tract infections, reflux or surgery on the urinary tract changes how adult kidney disease should be interpreted. It may point to CAKUT, relapsing nephrotic syndrome or long-term effects of childhood treatments such as calcineurin inhibitors. Ask directly, and request old paediatric records where possible.
- Ask about childhood kidney disease, infections and urinary surgery.
- Request paediatric records when the history is positive.
- Consider genetic causes when kidney disease began in childhood.
Why it matters
Diagnoses made in childhood are often lost at transfer to adult care.
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