Difficulties in diagnosing chronic glomerulonephritis and renal failure in children

The main reasons for the late diagnosis of chronic kidney disease in children are analyzed. Two clinical observations are given that clearly show that the sources of errors in pediatric nephrology are, firstly, insufficient attention of the doctor to the slightest signs of kidney dysfunction or their incorrect assessment; secondly, the difficulties arising in chronic glomerulonephritis, proceeding in the form of the so-called primary chronic forms of illness, the onset of which cannot be accurately established according to the history of the disease; thirdly, situations associated with chronic disease are extremely difficult in the differential diagnostic plan kidneys, which are observed in some cases.