End Stage Renal Disease in a 17-Year-Old Boy: A Case Report
Ni Nyoman Wulan Yuanitasari1*, I Gde Doddy Indra Kurniawan2
Abstract
Introduction: Chronic Kidney Disease (CKD) in children is asymptomatic in early stages, which makes early diagnosis challenging. However, children with chronic kidney disease can progressively worsen and lead to end-stage renal disease (ESRD), the most severe form of kidney failure. ESRD is a rare condition in children but significantly affects their quality of life. Case Presentation: A 17-year-old boy went to the emergency department at Wangaya Hospital with a chief complaint a persistent vomiting accompanied by epigastric pain. The patient also reported generalized weakness, decreased appetite, and decreased fluid intake. Physical examination revealed stage 2 hypertension, pale conjunctiva in both eyes, tenderness in the epigastric region, and pallor of the skin. Laboratory investigations showed normochromic normocytic anemia with thrombocytopenia, elevated blood urea nitrogen, also creatinine serum, and hyperkalemia. Initial management included oxygen supplementation and intravenous fluid therapy. The patient was scheduled to receive a transfusion of packed red cells and was given symptomatic medications. The patient was diagnosed with End-Stage Renal Disease and referred for hemodialysis. Discussion: Chronic Kidney Disease (CKD) is defined by KDIGO as kidney damage or a glomerular filtration rate (GFR) <60 mL/min/1.73 m² lasting for ≥3 months. This case describes a 17-year-old boy with ESRD, confirmed by a glomerular filtration rate of 5.21 mL/min/1.73 m². The mother’s history of Stage V CKD increases the patient’s genetic risk, consistent with familial aggregation findings. Management includes supportive therapies, antihypertensives, and urgent referral for hemodialysis due to end-stage renal disease. Therefore, early recognition, comprehensive management, and timely planning for renal replacement therapy, either dialysis or kidney transplantation, are crucial to improve long-term outcomes. Conclusion: ESRD at such a young age reflects the progressive nature of chronic kidney disease and its profound impact on growth, development, and quality of life, emphasizing the importance of comprehensive care and early dialysis planning.
Keywords
end-stage renal disease; glomerular filtration rate; hemodialysis
Cite This Article
Yuanitasari, N. N. W., Kurniawan, I. G. D. I. (2025). End Stage Renal Disease in a 17-Year-Old Boy: A Case Report. International Journal of Scientific Advances (IJSCIA), Volume 6| Issue 6: Nov – Dec 2025, Pages 1000-1003 URL: https://www.ijscia.com/wp-content/uploads/2025/11/Volume6-Issue6-Nov-Dec-No.965-1000-1003.pdf
Volume 6 | Issue 6: Nov – Dec 2025
