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Principles and Practice of Pediatric Nephrology
First Edition: 2004
Second Edition:2013
9789350258897
Printed at
fm5Contributors
- Abhijeet Saha MBBS MD
- Associate Professor
- Department of Pediatrics
- PGIMER, RML Hospital
- New Delhi, India
- Aditi Sinha MD (Ped) DNB
- Senior Research Associate
- Division of Nephrology
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Alpana Ohri MD DNB (Ped) Fellowship in Ped Nephrology (ISPN)
- Assistant Professor
- Bai Jerbai Wadia Hospital for Children
- Mumbai, Maharashtra, India
- Amish H Udani DCH DNB (Ped) Fellowship in Ped Nephrology (The Tamilnadu Dr MGR Medical University and ISPN)
- Clinical Research Officer
- Division of Pediatric Nephrology
- Bi Jarbai Wadia Hospital for Children
- Mumbai, Maharashtra, India
- Amitava Pahari MD (Ped) DCH DNB MRCP CCST FRCPCH
- Senior Consultant Pediatrician (Nephrology and Infectious diseases)
- Apollo Gleneagles Hospital
- Kolkata, West Bengal, India
- Anand S Vasudev MBBS D PED DNB DCP FIAP FIMSA MNAMS
- Senior Consultant, Pediatric Nephrology
- Apollo Hospital and Max Hospital
- New Delhi, India
- Anila Abraham Kurien MD (Pathology)
- Consultant
- Department of Pathology
- Madras Medical Mission
- Chennai, Tamil Nadu, India
- Anitha VP MBBS DCH Fellowship in Ped Intensive Care (ISCCM)
- Consultant Pediatric Intensivisit
- Mehtha Children's Hospital
- Chennai, Tamil Nadu, India
- Anoop Subash MBBS DNB (Ped Surgery)
- Registrar in Pediatric Surgery
- Kanchi Kamakoti CHILDS Trust Hospital
- Chennai, Tamil Nadu, India
- Arpana Iyengar MD (Ped) DNB FPN
- Associate Professor
- Department of Pediatric Nephrology and
- Medical Education
- St John's Medical College Hospital
- Bengaluru, Karnataka, India
- Arvind Bagga MD (Ped) FIAP FAMS
- Professor of Pediatrics
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Ashima Gulati MD (Ped)
- Connecticut Children's Medical Center
- University of Connecticut
- Hartford, CT, USA
- Basema Dibas MD
- Department of Pediatric Nephrology and Hypertension, Brody School of Medicine East Carolina University, Greenville
- North Carolina, USA
- Senior Consultant in Pediatrics and
- Pediatric Nephrology
- Base Hospital, Delhi Cantt
- Professor and Head
- Department of Pediatrics
- Army College of Medical Sciences
- New Delhi, India
- Chidambaranathan S MD (Ped) Fellowship in Ped Neurology
- Assistant Professor
- Department of Pediatrics
- Raja Muthaiah Medical College and Hospital
- Chidambaram, Tamil Nadu, India
- Edwin Fernando M MD (Gen Med) DM (Neph)
- Professor and Head
- Department of Nephrology
- Stanley Medical College
- Chief Nephrologist
- Government Stanley Hospital
- Chennai, Tamil Nadu, India
- Gurinder Kumar MD (Ped) Fellowship in Pediatric Nephrology
- Department of Pediatric Nephrology
- St John's Medical College Hospital
- Bengaluru, Karnataka, India
- Hemchand Krishna Prasad MD (Ped) DCH
- Fellowship in Ped Endocrinology (London and BHU, India)
- Mehta Children's Hospital
- Chennai, Tamil Nadu, India
- Indira Agarwal MD (Ped) FISN
- Professor and Head of the
- Pediatric Unit 2 and Pediatric Nephrology
- Christian Medical College
- Vellore, Tamil Nadu, India
- Jayati Sengupta MD (Ped)
- Senior Consultant and Coordinator
- Department of Pediatrics and Neonatology
- AMRI Hospitals
- Kolkata, West Bengal, India
- Jimmy Shad MS MCH (Ped Surgery) Fellow in Pediatric Urology
- Apollo Children's Hospital
- Chennai, Tamil Nadu, India
- Jyoti Sharma MD DNB (Ped) IPNA and ISN
- Fellowship in Ped Nephrology
- Professor
- Department of Pediatrics and Pediatric Nephrology
- Bharati Vidyapeeth Deemed University and
- Medical College
- Pune, Maharashtra, India
- Kamini S Mehta MD DCH FCPS DNB (Ped) DNB (Neph)
- Consultant Pediatric Nephrologist
- Lilavati Hospital, KEM Hospital
- Mumbai, Maharashtra, India
- Kishore Babu S MD (Ped) DCH DNB (Neph)
- Consultant Nephrologist
- Manipal Hospital
- Bengaluru, Karnataka, India
- Lekha Hrishikesan DCH MD (Ped) DNB DM (Neph) DNB MRCP (UK) FRCPCH
- Senior Consultant
- Pediatric Nephrologist
- Ananthapuri Hospitals and Research Institute
- Thiruvananthapuram, Kerala, India
- Lt Col Ravi Ramamurthy H MD (Ped)
- Classified Specialist (Pediatrics)
- Military Hospital, Wellington
- Nilgiris, Tamil Nadu, India
- Mani Ram Krishna S MBBS DNB (Ped)
- Resident in Pediatrics
- Kanchi Kamakoti CHILDS Trust Hospital
- Chennai, Tamil Nadu, India
- Manisha Sahay MD (Ped) DNB MAMS
- Professor and Head
- Department of Nephrology
- Osmania General Hospital and Medical College
- Hyderabad, Andhra Pradesh, India
- Manoj G Matnani MD (Ped) Fellowship in Ped Nephrology (IPNA and London)
- Consultant Pediatric Nephrologist
- KEM Hospital and Research Centre
- Pune, Maharashtra, India
- Mehul A Shah MD (Ped) DCH DM DABPN (USA)
- Consultant Pediatric Nephrologist
- Rainbow Children's Hospital and Apollo Hospitals
- Hyderabad, Andhra Pradesh, India
- Senior Consultant in Pediatric Radiology
- Kanchi Kamakoti CHILDS Trust Hospital
- Chennai, Tamil Nadu, India
- Nammalwar BR MD DCH DM (Neph) mnams
- Consultant Pediatric Nephrologist and
- Director of Medical Education
- Mehta Children's Hospital
- President
- Chennai Pediatric Kidney Foundation
- Chennai, Tamil Nadu, India
- Nandhini G MBBS DNB (Ped Surgery)
- Consultant Pediatric Surgeon
- Mehta Children's Hospital
- Chennai, Tamil Nadu, India
- Ninoo George G MD
- Senior Registrar
- Department of Nephrology
- Christian Medical College
- Vellore, Tamil Nadu, India
- Prabha Senguttuvan MD (Ped) dch dm (Neph) fisn
- Professor of Nephrology
- Sri Ramachandra Medical College and
- Research Institute
- Chennai, Tamil Nadu, India
- Prahlad N DCH DNB (Ped) Fellowship in Pediatric Nephrology
- Consultant Nephrologist
- Mehta Children's Hospital
- Chennai, Tamil Nadu, India
- Prajnya Ranganath MD (Ped) DM (Medical Genetics)
- Assistant Professor and Head
- Department of Medical Genetics
- Nizam's Institute of Medical Sciences
- Hyderabad, Andhra Pradesh, India
- Prasad N MBBS MS MCH (Ped Surgery)
- Professor and Head (Retd)
- Department of Pediatric Surgery
- Institute of Child Health and
- Madras Medical College
- Chennai, Tamil Nadu, India
- Rajiv Padankatti L MBBS DNB (Gen Surgery) DNB (Ped Surgery)
- Consultant in Pediatric Surgery
- Sundaram Medical Foundation
- Chennai, Tamil Nadu, India
- Rajiv Sinha MD (Ped) FRCPCH (UK) CCT Ped Nephrology (UK)
- Fellowship in Ped Nephrology (Canada)
- Assistant Professor and
- Consultant Pediatric Nephrologist
- Division of Pediatric Nephrology
- Institute of Child Health
- Kolkata, West Bengal, India
- Ramalingam A MD (Radiol) DMRD DCH
- Consultant in Pediatric Radiology and Sonology
- Mehta Children's Hospital
- Chennai, Tamil Nadu, India
- Sairam VK MBBS AB (Ped) AB (Ped Neph)
- Consultant Pediatric Nephrologist
- Kanchi Kamakoti CHILDS Trust Hospital
- Chennai, Tamil Nadu, India
- Sangeetha G MD (Ped) Fellow in Pediatric Nephrology
- Mehta Children's Hospital
- Chennai, Tamil Nadu, India
- Sanjeev Gulati MD DNB (Ped) DM DNB (Neph) FIPN FIAP FRCPC
- Senior Consultant in Nephrology
- Fortis Institute of Renal Sciences and Transplantation
- New Delhi, India
- Saravanan G MD (Ped) MRCPCH (UK)
- Consultant Pediatrician
- Kurinji Hospital
- Coimbatore, Tamil Nadu, India
- Senthil Ganesh K MS MCH (Ped Surgery)
- Associate Consultant in Pediatric Surgery
- Kanchi Kamakoti CHILDS Trust Hospital
- Chennai, Tamil Nadu, India
- Shrishu R Kamath DCH DNB (Ped) Fellowship in Ped Intensive Care (ISCCM and Canada)
- Senior Consultant
- Pediatric Critical Care Department
- SRM Institute of Medical Science (SIMS)
- Chennai, Tamil Nadu, India
- Shweta Priyadarshini MD (Ped) Fellow in Pediatric Nephrology
- Mehta Children's Hospital
- Chennai, Tamil Nadu, India
- Consultant
- Pediatric Nephrology Kidney and
- Urology Institute, Medanta
- The Medicity Hospital
- Gurgaon, Haryana, India
- Sripathi V MS MCH FRACS
- Consultant Pediatric Urologist
- Director, Pediatric Urology Fellowship Program Apollo Children's Hospital, Chennai
- Adjunct Professor
- The Tamil Nadu Dr MGR Medical University Chennai, Tamil Nadu, India
- Stephen D Marks MD MSC MRCP (UK) DCH FRCPCH
- Consultant Pediatric Nephrologist
- Department of Pediatric Nephrology
- Great Ormond Street Hospital for
- Children NHS Trust
- Great Ormond Street, London, UK
- Sudha E MBBS DNB (Ped) Fellowship in Ped Nephrology (The Tamil nadu Dr MGR Medical University and ISPN)
- Senior Registrar in Pediatric Nephrology
- Mehta Children's Hospital
- Chennai, Tamil Nadu, India
- Susan Uthup MD (Ped) DCH DNB DM (Neph) DNB (Neph)
- Additional Professor and Chief of
- Pediatric Nephrology
- Department of Pediatrics
- Sree Avittom Thirunal Hospital
- Government Medical College
- Thiruvananthapuram, Kerala, India
- Sushmita Banerjee MBBS DCH msc MRCP FRCPCH
- Consultant
- Department of Pediatric Nephrology
- Institute of Child Health
- Kolkata, West Bengal, India
- Tamilarasi V BA MBBS MD (Ped) DM (Neph) FISN FMMC
- Professor and Head
- Department of Nephrology
- Christian Medical College
- Vellore, Tamil Nadu, India
- Tarak Srivastava MD
- Section of Pediatric Nephrology and
- Bone & Mineral Disorders Clinic
- University of Missouri at Kansas City School of Medicine
- Kansas City, Missouri, USA
- Thangavelu S MD (Ped) DCH DNB (Ped) MRCP
- Former Reader in Pediatrics
- Institute of Child Health and Hospital for Children Madras Medical College
- Presently, Consultant Pediatrician
- Mehta Children's Hospital
- Chennai, Tamil Nadu, India
- Thirumurthi K MBBS MASC (Nuc Med)
- Chief of Nuclear Medicine
- Madras Medical Mission
- Chennai, Tamil Nadu, India
- Uma Ali MD DCH (Ped)
- Head of Nephrology Division and PICU
- Bai Jerbai Wadia Hospital for Children
- Mumbai, Maharashtra, India
- Vijayakumar M MD DCH DM (Neph) FIAP FISCD
- Consultant Pediatric Nephrologist
- Mehta Children's Hospital
- Secretary
- Chennai Pediatric Kidney Foundation
- Chennai, Tamil Nadu, India
- Vishwanath Siddini MBBS DNB (Ped) MNAMS DNB (Neph)
- Consultant Nephrologist
- Manipal Institute of Nephrology and Urology
- Manipal Hospital
- Bengaluru, Karnataka, India
It is a privilege to write the Foreword to the second edition of the book Principles and Practice of Pediatric Nephrology, to which many eminent pediatric nephrologists across the country have contributed and has been edited by Dr Vijayakumar M and Dr Nammalwar BR, Pediatric Nephrologists, Mehta Children's Hospital, Chennai, Tamil Nadu, India.
The book has been structured into 14 sections, which have been subdivided into chapters that cover all facets of pediatric nephrology in totality, from basic nephrology to chronic kidney disease. Moreover, the thoughtful inclusion of topics of Pediatric Urology, Diagnostic Radiology and Renal Histopathology, makes it an all-inclusive blanket reference for pediatric nephrology.
It not only comprehensively addresses the need of a reference textbook for students pursuing to acquire skills in pediatric nephrology, but also serves as a ready reference for both pediatricians and adult nephrologists, while managing pediatric patients in their busy clinical practice. The highlight of the book lies in the simplicity of its approach, clarity of thought on the subject and the lucidity of the illustrations.
The rational approach to the clinical problem, suggested at the end of most of the chapters is of immense help to the practising nephrologists, and this book is a “must” in the shelf of all pediatricians, as well as adult nephrologists.
Gokulnath
BSC MD (Med) DM DNB (Neph) FISN FRCP (London)
Professor and Head
Department of Nephrology
St Johns Medical College
Bengaluru, Karnataka, India
President
Indian Society of Nephrology-Southern Chapter
President
Indian Society of Peritoneal Dialysis
fm10Preface to the Second Editionfm11fm12
The origin of this book Principles and Practice of Pediatric Nephrology began in a small way. The teaching materials contributed by the Faculty of the Annual Conferences at Chennai of the then Indian Pediatric Nephrology Group were xeroxed, bound and distributed to the delegates and pediatric postgraduates as a ‘Textbook’. With successive conferences at Chennai, the contents and the volume of the book increased but the materials in the book was outdated. In 2004, a multi-authored new book with a fresh approach and materials was published. The Editors coined it as the Third Edition but the Publishers rightly designated it as the First Edition. Now we have the Second Edition. In this Edition, we have expanded the subjects to a wider spectrum, which includes ‘Genetics of some renal disease, molecular pathogenesis of inherited renal disease, and pediatric urology’ as applicable in clinical practice for pediatricians and pediatric nephrologists. Further value has been added with inclusion of Neonatal Nephrology, a subspecialty on the horizon, preventive nephrology, renal histology, vitamin D, and the kidney and acute kidney injury in Pediatric Intensive Care Unit (PICU) environment. Since the last Edition, there has been a gigantic surge in the number of young and academically brilliant pediatric nephrologists in India. Hence, we have extensively drawn their potentials as the resource for this book. The goal of the Editors is to provide a complete textbook of pediatric nephrology for pediatric postgraduates, a reference book for pediatricians in practice and an introductory book for internal medicine postgraduates in nephrology. If this book has fulfilled this object, it is entirely due to contributions from the authors who have put in their sincere efforts. The shortcomings are the Editors’ contributions. We request our readers, postgraduates, teachers and colleagues for their critical review, suggestions and comments to improve in the next edition.
Vijayakumar M
Nammalwar BR
fm13Preface to the First Editionfm14
The third edition of Principles and Practice of Pediatric Nephrology is being published after 10 years. The second edition was published in 1993. Since then, there has been constant request from the postgraduates and colleagues for the next edition. The outcome of this encouragement and support is the printing of this third edition. We have attempted to make this textbook as comprehensive as possible and at the same time to keep the presentation in simple language. Newer chapters such as inherited diseases of the kidney, genetic basis of renal diseases, renal replacement therapy and newer investigation modalities have been included in this book.
Our friends Dr N Somu, Dr L Subramanyam, Dr A Balachandran, Dr K Nedunchelian, Dr NC Gowrishankar, Dr S Lakshmi and Dr So Shivbalan, have contributed extensively in every respect in the production of this book as in the earlier edition.
We are thankful to our colleagues and senior pediatric nephrologist, for their contribution to this book. We cannot forget our friends and colleagues from India and abroad, who have contributed their experience to the book. If this book is good and useful, it is because of contributions from these Authors.
We are grateful to Dr Radhakrishna Baliga, the center pin, for the success in obtaining contributions from senior and respected faculty from abroad. We are fortunate to have the unstinted support of our former colleagues Dr Vivek Narendran, Dr Aravind Kasaragode, for their own contribution and also from their colleagues.
We are thankful to Dr HPS Sachdev, our friend and guide as well as a senior pediatrician of India, for his ‘Foreword’ to this book.
We are sincerely thankful and grateful to our friends, Mr G Suresh and Mr S Rajkumar, for their sincere and unconditional secretarial assistance.
We are thankful to our wives, children and our family members, for their patience and mental support to bring out this book.
We are grateful to M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for their willingness to support our cause by accepting to print and publish this book, Principles and Practice of Pediatric Nephrology.
We request our readers, the postgraduates, teachers and colleagues, for their critical review, suggestions and comments to improve in the next edition.
Nammalwar BR
Vijayakumar M
fm15Acknowledgments
Ingratitude is the most heinous crime a human can ever commit. We are grateful to Editors of many International and National Textbooks of Nephrology, whose work formed the basis in formulating this book. We are thankful to postgraduate students in pediatric medicine and our pediatric colleagues, for their constant encouragement and impressing on us, the need for a second edition. We remember and continue to be grateful for the services of Dr Radhakrisna Baliga in obtaining the contibutions for the first Edition of this book from senior and respected faculty from abroad. The first Edition was fortunate to have the unstinted support of Dr Vivek Narendran, Dr Aravind Kasaragode, Dr Suhas Kallapur, Dr Shoba Sahney, Dr Ari M Simckes and Dr Bradley A Wardy. Their participation had enhanced the academic merit of that Edition. The spontaneous support and willingness to contribute at a short notice by our pediatric colleagues for this Edition has humbled us. We are grateful to each one of them. An individual note should be made of Dr Prajanya and Dr Tarak Srivastava, for their contribution on ‘Genetic diseases of the kidney’ and ‘Vitamin D and the kidney’. We thank Dr Gokulnath, President of the Indian Society of Nephrology, Southern Chapter for his ‘Foreword’, a matter of pride for us. Our colleagues in the Pediatric Nephrology Department, Dr N Prahlad, Dr E Sudha, Dr Shweta Priyadarshini and Dr G Sangeetha, gave their unstinted effort and time in proofreading and correction of the manuscripts, which was beyond call of their duty. We are grateful and thankful to Dr Susan Uthup, our Pediatric Nephrology colleague and Dr G Nandhini our Pediatric Surgery colleague, for their constant support in the preparation of the text and also in the proofreading. We want to place on record the positive approach and support of Dr Amish Udani, our Pediatric Nephrology colleague from Mumbai in the preparation of the text as well as in proofreading. We thank Dr S Thangavelu and Dr NC Gowrishankar, our Pediatric colleagues, for their excellent support in the preparation of this book. We sincerely thank our companion-in-work, Mr G Suresh, for his secretarial assistance in the preparation of the book from its conception to delivery. We are thankful to our wives, children and family members who bore with silence our negligence of our responsibilities to them.
Last but not least, if a beautiful book is in your hands, it is because of Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director) and Mr Tarun Duneja (Director-Publishing) of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India. We also compliment Ms Chetna Vohra, Mr Jayanandan, Ms Sajini and others in Jaypee Brothers Medical Publishers (P) Ltd (Chennai and Bengaluru Branches), for their patience and willingness to throw light for us in the dark path of printing and publishing.
We request our readers, postgraduates, teachers and colleagues, for their review, suggestions and comments, so we learn how to improve and make our future editions better. Our efforts will be rewarded if one more pediatrician is drawn into the arena of Pediatric Nephrology.