小児の慢性腎臓病（CKD）の病態と治療戦略

The progressive nature of chronic kidney disease（CKD）is well known and CKD occurs in allages groups, including children. Problem is that the patients with CKD have an increased risk ofnot only end-stage renal disease（ESRD）, but poor cardiovascular outcomes and death in both childrenand adults. It was estimated there are about 20.0 million japanese with CKD. Althoughthere is not definitely defined about correct number of pediatric patients and onset time of CKD, itis assumed that much number of pediatric CKD often carried over adult ages. Furthermore, mostof children with CKD have several problems such as the limitation of social activities, growth failure,cognitive impairment and mental fatigue. Therefore, the establishment of screening approachfor detecting pediatric CKD and appropriate treatment aiming the remission of CKD isrequired.This article aims to give a short review of school urinary screening system in Tokushima prefectureand treatment strategy for children with CKD, especially IgA nephropathy.