Kidney Conditions Treated
Our team provides comprehensive care for the full range of kidney conditions, including:
Nephrotic Syndrome and Glomerulonephritis: There should be no blood and no protein in the urine. If your pediatrician has detected blood or protein in the urine then your child may have a kidney disease. Our doctors offer the time-tested standards of care but also are exploring new, innovative, and experimental treatments, which are showing the promises of increased cure rates with fewer side effects.
Lupus and other auto-immune diseases: When the immune system attacks the ‘self’, the kidneys may become damaged. The pediatric nephrology team works closely with the pediatric rheumatology team in the care of children with autoimmune diseases. There is frequent collaboration and coordination of care between the rheumatologic and nephrologic teams in the treatment of patients with these complex diseases to ensure the best outcomes.
Hypertension: A helpful test to evaluate high blood pressure in children is the 24-hour ambulatory blood pressure monitor. Because children can be nervous at the doctor’s office their blood pressure may rise temporarily, a condition called ‘White Coat Hypertension.’ In order to figure out if the high blood pressure is just temporary or is persistent and due to a medical condition, 24-hour ambulatory blood pressure monitoring is often recommended. Then the child’s blood pressure is monitored at home while playing, sleeping, eating, and doing their usual activities. Approximately half of the children referred for evaluation of their high office blood pressures are found to have entirely normal readings at home and require no further testing.
If the child’s blood pressure remains high on the 24 hour test then he/she will undergo additional testing. Unlike high blood pressure in adults, approximately 90 percent of the cases of hypertension in children are caused by a kidney problem. Our American Society of Hypertension certified Specialist in Clinical Hypertension, Leigh Ettinger, M.D., and his team carefully evaluate each patient through a series of tests to determine if the hypertension is due to any anatomic, renal, hormonal, or cardiac cause. Then an individualized treatment program will be discussed with the family.