Journal de néphrologie et thérapeutique

Background: Acupuncture has been an interesting portion of Traditional Chinese Medicine. Many studies have shown that pediatric acupuncture is also acceptable and feasible. Nocturnal enuresis (NE) is defined as evacuating the bladder during sleep in a child older than five years old. Acupuncture and laser acupuncture may be more effective than sham procedures at reducing enuresis and relapse rates; however, the evidence is weak. The purpose of this study is to evaluate the effect of acupuncture therapy in the treatment of nocturnal enuresis on randomized controlled trials (RCTs). Method: An electronic literature search was conducted to identify appropriated trial studies. The outcomes were presented as relative risk, with 95% confidence intervals (CI). Results: We found only seven trials that fulfilled our inclusion criteria. Only seven trials from five studies were included in meta-analysis. Final relative risk (RR) was not statistically significant (RR (range) = 1.312(0.939-1.832)) but evidences from independent review of each study suggested effective roll of acupuncture in treatment of NE. Conclusion: In summary, the results of this study show that acupuncture seems to be an effective treatment for NE, but further large randomized trials are suggested.

Background: Decline of Residual renal function (RRF) is commonly observed in dialysis patients. RRF may play a significant role in the treatment adequacy and outcomes of dialysis patients. Several prospective observational and interventional studies have shown that the presence of RRF was associated with an improved outcome and a reduced mortality in dialysis patients. Preserving RRF is an old holistic dream that still remains to date a source of debate among the nephrologists. The aim of our study was to evaluate the impact of preservation of residual renal function in peritoneal dialysis (PD). Methods: The study was retrospective, descriptive and analytical including patients on peritoneal dialysis in the Nephrology Department of Sahloul Hospital in Sousse during the period from 1 December 2006 to 30 June 2014. We noted clinical and biological parameters for patients with and without RRF. The FRR was defined as a residual clearance upper than 1 ml/min. All statistical analysis was performed with SPSS statistical software version 20. For each parameter the mean ± deviation was calculated. The significance of effects was tested using analysis of variance (ANOVA). Values <0.05 were considered significant. Multiple regression analysis was performed in order to investigate the relationship between RRF and various independent variables (age, gender, blood pressure, and etiology of end stage renal disease). Results: During the study period, 48 patients were collected. RRF was found in 71% of patients with PD. Several benefits were demonstrated: better control of anemia (9.2 vs. 8.01 g/dl), better balance of uricemia (303 vs. 393 μmol/l) a better balance of phosphorus (1.4 vs. 1.8 mmol/l) and a lower risk of peritonitis (absence of peritonitis in 71 vs. 30%). Conclusion: The FRR is an important parameter that should be taken into account in our medical care in dialysis. Its protection should therefore be considered and it responds to many factors.

IgA nephropathy was found associated with celiac disease and dermatitis herpetiformis in a two years old male child at our center. This observed association widen the spectrum of the diseases that have been reported to coexist with IgA nephropathy.