Nephrolithiasis: A complication of pediatric diabetic ketoacidosis.
Sungeeta AgrawalRobin KremsdorfSerife UysalMeghan E FredetteLisa Swartz ToporPublished in: Pediatric diabetes (2017)
Nephrolithiasis is a rare complication of pediatric DKA, and should be considered in children with DKA who develop hematuria, flank pain, or suprapubic pain. Nephrolithiasis can increase insulin resistance due to increased pain and inflammation, so these patients should be monitored closely for recurrence of DKA. As patients with diabetes have increased risk of chronic kidney disease and nephrolithiasis can cause kidney injury, risk factors for nephrolithiasis should be identified and addressed to avoid subsequent kidney damage.
Keyphrases
- end stage renal disease
- chronic kidney disease
- chronic pain
- pain management
- neuropathic pain
- insulin resistance
- oxidative stress
- type diabetes
- ejection fraction
- newly diagnosed
- young adults
- metabolic syndrome
- prognostic factors
- spinal cord injury
- spinal cord
- skeletal muscle
- postoperative pain
- patient reported outcomes
- childhood cancer
- glycemic control