Correlation between lipid profile and C-reactive protein in children with nephrotic syndrome

Journal Title: Paediatrica Indonesiana - Year 2015, Vol 55, Issue 1

Abstract

Background Nephrotic syndrome (NS) causes dyslipidemia in children, which can be long term or intermittent. Dyslipidemia has long been established as a risk factor for atherosclerosis. An early sign of atherosclerosis is elevated high sensitivity C-reactive protien (hsCRP). Atherosclerosis early in life, especially in childhood, warrants an assessment for NS. Study on a correlation between lipid profile and hsCRP, as a marker of atherosclerosis, in pediatric NS patients has been limited. Objective To assess for a correlation between lipid profile and hsCRP in childhood nephrotic syndrome. Methods This cross-sectional study was undertaken on 29 children with NS in Dr. Kariadi Hospital. Serum hsCRP, total cholesterol, low-density lipoprotein (LDL), and high-density lipoprotein (HDL) were examined in the active phase. Spearman’s test was used to analyze a possible correlation between total cholesterol, LDL, HDL and hsCRP levels. Results Mean levels of total cholesterol (454 mg/dL) and LDL (288 mg/dL) in this study were high, while the HDL level (55 mg/dL) was normal, according to US Department of Health and Human Services classifications. The median hsCRP level was 0.33 mg/L and 9 (31%) subjects had high hsCRP levels of more than 1 mg/L. There was a positive correlation between LDL level and hsCRP (r=0.423; P<0.05). Conclusions There is a weak positive correlation between LDL and hsCRP levels in children with NS.

Authors and Affiliations

Kurnia Dwi Astuti, Mohammad Heru Muryawan, Omega Mellyana

Keywords

Related Articles

PELOD score, serum procalcitonin, and lactate levels in pediatric sepsis

Background Sepsis remains a major cause of morbidity and mortality among critically ill children in the pediatric intensive care unit (PICU). Procalcitonin and lactate have been used as biomarkers of sepsis, as they have...

Does malnutrition influence outcome in children undergoing congenital heart surgery in a developing country?

Background Most children undergoing cardiac surgery forcongenital heart disease (CHD) in developing countries aremalnourished. Malnutrition is known as a co-morbidity factorthat might predict and influence outcomes after...

Intravenous paracetamol and patent ductus arteriosus closure in preterm infants

Background Indomethacin and ibuprofen are the drugs of choice for closure of patent ductus arteriosus (PDA) in preterm infants. However, intravenous preparations are of limited availability in Indonesia. Circumstantial e...

Management of childhood Gitelman syndrome: a case study

Gitelman syndrome is a rare, autosomal recessive, renal tubular salt wasting disorder characterized by hypokalemia, and metabolic alkalosis in combination with significant hypomagnesemia and hypocalciuria.1,2 The prevale...

Preoperative intralesional injection of triamcinolone acetonide for a large head and neck lymphangioma in a baby: a case report

Lymphangiomas (LMs) are uncommon congenital malformations of the lymphatic system, with an estimated incidence of one in 2,000 to 4,000 live births.1 About half of these lesions are diagnosed at birth, and by two years o...

Download PDF file
  • EP ID EP448514
  • DOI 10.14238/pi55.1.2015.1-6
  • Views 99
  • Downloads 0

How To Cite

Kurnia Dwi Astuti, Mohammad Heru Muryawan, Omega Mellyana (2015). Correlation between lipid profile and C-reactive protein in children with nephrotic syndrome. Paediatrica Indonesiana, 55(1), 1-6. https://europub.co.uk/articles/-A-448514