African Journal of Paediatric Nephrology https://www.ajol.info/index.php/ajpn <p><em>African Journal of Paediatric Nephrology</em> is the official Journal of the African Paediatric Nephrology Association (AFPNA). The journal is dedicated to increasing awareness and knowledge of Paediatric nephrology in Africa and beyond. We publish research articles on renal diseases in children, on fluid and electrolyte metabolism, clinical quiz on paediatric nephrology, letters to the editor and review articles. The articles are published biannually in English and French languages.</p><p>Other websites associated with this journal: <a title="www.afpna.com" href="http://www.afpna.com" target="_blank">www.afpna.com</a></p> en-US African Journal of Paediatric Nephrology 2354-4325 Chronic Kidney Disease in Nigerian Children: Challenges of Management https://www.ajol.info/index.php/ajpn/article/view/196119 <p><strong>Background</strong>: The practice of Paediatric nephrology is challenging in developing countries as clinical management of cases is fraught with a lot of challenges. This study was con du cted to docume nt the epidemiology, outcome of patients with chronic kidney disease and highlight challenges encountered in the management.</p> <p><strong>Materials and Method:</strong> It was aretrospective review of all paediatric cases with chronic kidney disease over l2years period. Retrieved information included demographics, probable aetiology of kidney disease, need for dialysis and clinical outcome.</p> <p><strong>Results</strong>: The prevalence of chronic kidney disease was 1.6%, with male predominance. Glomerulopathies were responsible for CKD.Nephrotic causes in 39% and 25%of cases respectively. Dialysis was required in 35.9%(23/64) but was only accessed in7(30.4%). Histologic diagnosis was not made in all of them. The mortality was 20.3%.</p> <p><strong>Conclusion</strong>: It was thus concluded that nephrotic syndrome was the most common cause of chronic kidney disease. Management of children with chronic kidney diseases in our environment is suboptimal. Therefore it is recommended that the training of renal histopathologist should be encouraged and legislation on renal replacement therapy be emphasized.</p> <p><strong>Keywords</strong>: chronic kidney disease, children, renal repla cement, challenges.</p> A.F. Adekanmbi T.A. Ogunlesi O.O. Oba-Daini V.A. Ayeni Copyright (c) 2020-05-22 2020-05-22 5 1 1 5 Renal Size of Apparently Healthy Primary School Children in Port Harcourt, Nigeria https://www.ajol.info/index.php/ajpn/article/view/196118 <p><strong>Introduction</strong>: &nbsp;The &nbsp;assessment &nbsp;of kidney size isavaluable parameter for both diagnostic and prognostic purposes . To evaluate the abnormalities of kidney sizes, it is important to know the normal limits in ourpopulation.</p> <p><strong>Aim:</strong> To determine the mean renal sizes inrelation to age, sex, weightand height among apparently healthy school children which will aid in developing renal size normogram for use inclinical practice.</p> <p><strong>Methods</strong>: This was a cross sectional study carried out among 455 children aged 6 to 12 years. The sonographic assessment of renal sizes (length, width, depth and volume) of each kidney was carried out using a portable real time ultrasound machine model &nbsp;DP-1100 &nbsp;PLUS &nbsp;MINDRAY fitted with 3.5MHz curvilinear probe. The age, weights and heights of the children were recorded and related to thekidney sizes.&nbsp; volume was52.l ± 15.4cm and 52.2 ± 15.4 cm3on the right and left kidneys respectively.There was no significant difference in the length and volume between the right and left kidneys in the study population and no significant gender difference in the renal sizes of the study population. Therenal length increased from 77.6± 5.7mm at 6years to 85.7 ± 6.lmm at 12years of age while the renal volume increased from 45.6 ± 13.3cm3 at 6years to 60.6 ± 17.4cm3&nbsp;at 12years. There was a significant positive correlation of renal size with age, weight and height.</p> <p><strong>Conclusion</strong>: The renal length and volume significantly correlated with age, weight and height. This study has provided the renal sizes of normal school age children in Port Harcourt, Nigeria and regression equations for predicting renal length and volume in clinical practice.</p> <p><strong>Keywords</strong>:&nbsp;Renal size, Ultrasound, Age, Weight, Height, School Children, Port Harcourt, Nigeria</p> <p>&nbsp;</p> T.A . Uchenwa I.C. Anochie H.U. Okafor O.C. Maduforo Copyright (c) 2020-05-22 2020-05-22 5 1 14 20