TY - JOUR AU - Daniels Garcia, María José AU - Guerrero Tinoco, Gustavo Adolfo PY - 2022/11/15 Y2 - 2024/03/28 TI - Solitary functioning kidney and its follow-up in Pediatrics JF - Revista Colombiana de Nefrología JA - Rev. Colomb. Nefrol. VL - 9 IS - 3 SE - Review DO - 10.22265/acnef.9.3.593 UR - https://revistanefrologia.org/index.php/rcn/article/view/593 SP - AB - <p><strong>Background</strong>: The Solitary functioning kidney (SFK) is an entity that can be congenital type caused by unilateral renal agenesis or multicystic dysplastic kidney, or acquired secondary to unilateral nephrectomy conditioning to a strict routine follow-up, as well as the implementation of some prevention guidelines in pediatric patients.</p><p><strong>Purpose</strong>: To analyze the importance of follow-up in pediatric patients with a single functioning kidney.</p><p><strong>Methodology</strong>: A review of the literature is made showing embryology, physiology, etiology, clinical aspects and diagnostic studies in patients with SFK in order to subsequently offer guidelines for follow-up and management in pediatric patients.</p><p><strong>Results</strong>: Patients with SFK may present compensatory glomerular hyperfiltration, followed by glomerular injury with hypertension, albuminuria and reduced glomerular filtration rate, however, to prevent renal damage a careful clinical, paraclinical and imaging follow-up of every patient with SFK should be performed as the condition warrants.</p><p><strong>Conclusions</strong>: It is necessary to unify follow-up guidelines in pediatric patients with SFK and to emphasize those risk factors that predispose to renal compromise.</p> ER -