RESUMO
We report the results of ultrasonographic screening to determine the prevalence of renal abnormalities in children. This study was conducted simultaneously with a regular health check using portable realtime ultrasound equipment, from July 1988 to June 1989. Of 2920 three-year-old children resident in Kurume City, 2351 (80.5%) were screened. Abnormalities were detected in 11 (0.47%) of these, involving six cases of pelvic dilatation, three cases of unilateral renal agenesis, and two cases of a unilaterally small kidney. However, the simultaneous urinalysis of these 11 children did not disclose these abnormalities. Our results indicate that ultrasonography is an efficient tool for screening for a silent renal abnormality.
Assuntos
Anormalidades Congênitas/diagnóstico por imagem , Rim/anormalidades , Programas de Rastreamento/métodos , Nitrogênio da Ureia Sanguínea , Pré-Escolar , Anormalidades Congênitas/sangue , Anormalidades Congênitas/epidemiologia , Análise Custo-Benefício , Creatinina/sangue , Estudos de Avaliação como Assunto , Feminino , Humanos , Japão/epidemiologia , Masculino , Programas de Rastreamento/economia , Programas de Rastreamento/normas , Prevalência , Sensibilidade e Especificidade , UltrassonografiaRESUMO
We report on four autopsy cases of Potter's syndrome associated with characteristic Potter's face, pulmonary hypoplasia, and renal agenesis or dysplasia. There were no pathologic differences in typical cases with bilateral renal agenesis and variant cases with renal dysplasia instead of renal agenesis. All cases showed bilateral pulmonary hypoplasias and immature lung microscopically. Hyaline membrane disease was found in three cases in spite of late gestation. In one case with renal dysplasia, disaturated phosphatidylcholine, a pulmonary surfactant phospholipid, was measured and found to be decreased in comparison with that in age-matched controls. This suggests that functionally immature lung may be one feature of Potter's syndrome that is similar to hyaline membrane disease.
