Vasculitis and Kidney Disease

Pediatr Clin North Am. 2022 Dec;69(6):1199-1217. doi: 10.1016/j.pcl.2022.07.009. Epub 2022 Oct 29.

Abstract

Pediatric vasculitis is a complex group of disorders that commonly presents with multisystem involvement. Renal vasculitis can be isolated to the kidneys or can occur as part of a broader multiorgan vasculitis. Depending on severity, renal vasculitis may present as acute glomerulonephritis (AGN) often associated with hypertension and sometimes with a rapidly deteriorating clinical course. Prompt diagnosis and initiation of therapy are key to preserving kidney function and preventing long-term morbidity and mortality. This review focuses on the clinical presentation, diagnosis, and treatment objectives for common forms of renal vasculitis seen in pediatric patients.

Keywords: Kidney disease; Necrotizing glomerulonephritis; Pediatric vasculitis.

Publication types

  • Review

MeSH terms

  • Child
  • Cognition
  • Glomerulonephritis* / diagnosis
  • Glomerulonephritis* / therapy
  • Humans
  • Hypertension*
  • Kidney Diseases* / diagnosis
  • Kidney Diseases* / etiology
  • Kidney Diseases* / therapy
  • Vasculitis* / diagnosis
  • Vasculitis* / therapy