Hipoplasia renal en el Síndrome de Turner

Abstract

This paper presents the analysis of a clinical case about a patient diagnosed with Turner syndrome at two years of age, with multidisciplinary management since then carried out at the Jose María Velasco Ibarra Hospital in the city of Tena, and with a diagnosis of hypoplasia renal by ultrasound six years ago. New diagnostic test were performed including a renal ultrasound, which confirms hypoplastic kidneys, so it is also decides to perform blood test, renal profile, and a elementary and microscopic examination of urine. Its result is compatible with an upper urinary infection, which is a frequent complication of renal hypoplasia. The treatment and follow-up plan for which it is chosen, is a complete 14-dya cycle, with a Quinolone and subsequently control by external consultation in a month. The monitoring of renal function every three month along with a elementary and microscopic examination of urine and if possible an urine culture due to be frequent presentation of urinary tract infections associated with this pathology. Although Turner’s syndrome is widely associated with renal system malformations presenting in 40% and bilateral renal hypoplasia has been classically described as a decrease in the number of nephrons that make up the renal parenchyma. However, the current definition employs other diagnostic means such as ultrasound, which has proven to be highly sensitive and specific when determining the approximate actual size of the kidneys. This is not one of the most common conditions for wich the treatment that is provided in these cases should be individualized to the health of each patient initially with measures aimed at the prevention of complications. Since in this case, it is a bilateral affectation, it is continued with periodic controls by the specialty of Internal Medicine along with other related specialties for complementary management of the pathology.