A Case of Adolescent Renal Failure

This patient was admitted for first time in 1990 under the pediatrics nephrology services, when she was 12 years old. Her presenting symptoms were failure to thrive, polyuria, polydypsia and nocturia since six years of age and repeated episodes of carpopedal spasms for few weeks before hospitalization. Physical examination revealed a short stature female, whose height and weight were well below the 3 rd centile for her age, suggestive of severe growth retardation. There was no edema and her blood pressure was 100/60 mmHg. Her other general physical and systemic examination was within normal limits. She had three brothers and two sisters at this point of time and no one was affected by any form of renal disease.