Author(s): Dr. Jagadeep MR, Dr. Vinod S, Dr. Vivek Kumar AS, Dr. Suji M and Dr. Arif Khan S

Abstract: Background: Geographic clustering has been discovered in the etiology of chronic kidney disease (CKD). The use of renal ultrasound (USG) to diagnose CKD is common, but USG features are known to differ depending on the etiology of CKD. Objectives: The aim of this study was to identify the etiological factors and USG features of CKD. Methods: Ultrasonogram was done in adult patients diagnosed with CKD (n=100) and a control group (CG) with normal renal function (n=90). The following information was collected: demographics, related co-morbidities, serum creatinine levels, renal length (RL), renal cortical echogenicity, and the number of renal cysts and the severity of CKD was assessed. Results: The most important etiological factors of CKD were hypertension (38%) and diabetes (17%). CKD severity was as follows: 35% grade3a, 39% grade3b, 11% grade2 and 15% grade4. Mean renal length of the CKD group (9.07cm; SD=0.84) was significantly lower (p<0.001) than the CG (9.83cm; SD=0.79). In the CG, the left kidney was longer than the right kidney (T=2.89; P=0.04); but no significant RL difference between both sides was seen in the CKD group (T=0.19; p=0.19). CKD patients (14%) had small kidneys with increased renal cortical echogenicity (95.7%); 55% in sonographic echogenicity grade 2, 20% grade 1, 30% grade 3, 3% normal echogenicity and 2% grade4. Renal length progressively decreased with CKD severity. Renal cysts were prevalent in the CKD patients (34 %). Small kidneys were observed more commonly in hypertensive patients than in diabetics (5.8%). (21.2%).Conclusion: The most important etiological factors of CKD were hypertension and diabetes and had an effect on renal length. Renal length and the echogenicity were varied with the severity of CKD.

DOI: 10.22271/27080056.2021.v3.i2a.37

Pages: 32-35 | Views: 1269 | Downloads: 660

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