[The kidney in children under chemotherapy]

Rev Med Suisse Romande. 1996 Dec;116(12):985-93.
[Article in French]

Abstract

Nowadays more and more children survive after an intensive anti-tumoral therapy. The price to pay consists of numerous and relatively frequent long-term sequelae (secondary tumors, neuropsychological deficits, endocrine or cardiac damage). After chemotherapy, we sometimes observe renal side-effects, either tubular (metabolic acidosis, hypokalemia, hypomagnesemia, proteinuria, Fanconi syndrome, rickets) or glomerular (acute or chronic decreased GFR). These renal toxic side-effects are encountered especially after cisplatinum and ifosfamide, less frequently after carboplatin and cyclophosphamide. The pediatrician has to be aware of these toxic nephrologic side-effects, to look out for them and monitor carefully the renal function of all paediatric patients receiving these potentially nephrotoxic chemotherapies.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / toxicity
  • Antineoplastic Agents, Alkylating / adverse effects
  • Carboplatin / adverse effects
  • Child
  • Cisplatin / adverse effects
  • Glomerular Filtration Rate / drug effects
  • Humans
  • Ifosfamide / adverse effects
  • Kidney / drug effects*
  • Kidney Diseases / chemically induced
  • Kidney Diseases / diagnosis
  • Kidney Function Tests
  • Methotrexate / adverse effects
  • Mitomycin / adverse effects
  • Semustine / adverse effects

Substances

  • Antineoplastic Agents
  • Antineoplastic Agents, Alkylating
  • Semustine
  • Mitomycin
  • Carboplatin
  • Cisplatin
  • Ifosfamide
  • Methotrexate