Pediatr Nephrol (2018) 33:1157–1158 https://doi.org/10.1007/s00467-017-3824-z CLINICAL QUIZ Hypernatremia and acute pancreatitis in chronic kidney disease: back to the salt mines. Answers 1 1 1 1 Marie de Tersant & Thérésa Kwon & Marie-Alice Macher & Anne Maisin & 1 1 Georges Deschênes & Olivier Niel Received: 25 September 2017 /Accepted: 27 September 2017 /Published online: 24 October 2017 IPNA 2017 . . Keywords Acute pancreatitis End-stage renal disease Cyst the acute pancreatitis, we elected to maintain pancreatic cyst . . lavage Hypernatremia Hypokalemia lavage; a peritoneal dialysis solution was used instead of the normal saline solution for the lavage, leading to a complete correction of hydroelectrolytic disorders, as shown in Table 1. 1. What is the etiology of acute pancreatitis in this patient? This acute necrotizing pancreatitis was attributed to the patient’s treatments (prednisone, trimethoprim-sulfamethoxa- Discussion zole, and everolimus). Differential diagnoses mainly included infectious or genetic acute pancreatitis. Acute pancreatitis is a well-recognized complication among patients with chronic kidney disease (CKD) . The most 2. What is the most likely cause of this patient’selectro- common causes in the pediatric population  are gallstones, lytic disorders? infections, drugs, and genetic mutations. The exact pathogenic Hypernatremia and hypokalemia both developed concom-
Pediatric Nephrology – Springer Journals
Published: Oct 24, 2017
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