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The full-service Pediatric Nephrology & Hypertension Program at MassGeneral Hospital for Children (MGHfC) emphasizes personalized, prompt and friendly consultation and care for both inpatients and outpatients. We offer comprehensive evaluation and management of all disorders of the kidneys and urinary tract that may affect infants, children, adolescents and young adults.Children seen as outpatients are evaluated in the welcoming, friendly environment of the pediatric subspecialty clinic in the Yawkey Center on the Massachusetts General Hospital Main Campus or at one of our satellite locations throughout the area. Our location within a world-renowned academic medical center allows access to the experienced subspecialists and the cutting-edge technology at Mass General.
Our physicians specialize in the diagnosis and treatment of all aspects of kidney disease in infants, children, adolescents, and young adults, including:
Comprehensive renal diagnosis is performed with on-site urinary microscopy and renal functional studies. Imaging studies, 24-hour blood-pressure monitoring, renal biopsy and genetic testing are performed when indicated.
While our specialists see patients with all forms of kidney disease, our division offers several further specialized clinics within nephrology to address very specific conditions:
Hypertension Clinic: The Pediatric Hypertension Clinic at MassGeneral Hospital for Children offers comprehensive evaluation and management of children with all causes of hypertension. We have a full consultative team including members of the cardiology, gastroenterology and nutrition units. We offer 24-hour ambulatory blood-pressure monitoring and echocardiography, as well as angiographic imaging when needed. Children with hypertension are more likely to have kidney conditions that cause high blood pressure and need a more detailed diagnostic evaluation than adults in order to understand and treat their high blood pressure conditions. Unfortunately, obesity can also cause high blood pressure, and the growing number of children with obesity has led to a surge in the prevalence of pediatric hypertension. Because of the association between long-term cardiovascular disease and hypertension, our approach to high blood pressure in children includes an evaluation of associated cardiovascular risk factors, such as hyperlipidemia, diabetes, obesity and family risk factors.
Chronic Kidney Disease and Renal Transplantation: Our division works conjointly with the Mass General Division of Transplant Surgery and the Mass General Hemodialysis and Peritoneal Dialysis Units to provide full and coordinated care in the evaluation and treatment of chronic renal failure and end-stage renal disease. We work closely with families to choose hemodialysis, peritoneal dialysis or renal transplantation as the best option for their child's renal replacement therapy. Social services, renal dietitians, nutritionists and renal nursing are an integral part of the available resources.
Kidney Stones (Nephrolithiasis): Our kidney stone program includes a complete metabolic evaluation of all children with kidney stones. We work closely with the Division of Pediatric Urology to provide complete care of children with stones, including ureteroscopy and lithotripsy when needed.
Tuberous Sclerosis Complex (TSC): Our division is the primary renal referral center of The Carol and James Herscot Center for TSCat Massachusetts General Hospital. In collaboration with pediatric and adult diagnostic and interventional radiologists,urologists, pathologists, and internists, we diagnose, monitor and treat all kidney problems of both children and adults with TSC.
Young Adult Transition Clinic: As adolescents and young adults grow and mature, managing their chronic disease is an additional challenge that comes with the added responsibilities of adulthood. Recognizing that this period in one’s life has its own unique challenges, our division works closely with the MGH Renal Associates (adult Nephrology) to make the transition to adulthood a smooth one.
Disorders of Calcium and Bone Metabolism: Our staff is nationally known for expertise in the field of calcium, vitamin D and bone metabolism. We provide state–of–the–art interpretation of bone density tests in children and teenagers, and a comprehensive discussion of strategies to improve bone density in a variety of conditions. We work closely with our colleagues in Pediatric Endocrinology to provide expertise in rare disorders of calcium and phosphate metabolism. Learn more about the Pediatric Bone and Mineral Metabolism Disorders Clinic.
At MassGeneral Hospital for Children, we know that the time of your child's diagnosis and treatment may be very stressful, and we strive to provide an open, welcoming and supportive environment. We believe that no one knows a child as well as his or her parents. Parents, along with primary care providers, become our partners in a child's care and have an active voice in all treatment plans.
Childhood nephrotic syndrome is a disease that affects the kidneys. This handout will explain childhood nephrotic syndrome, the symptoms of nephrotic syndrome, how we test for it and how we treat it.
A urinary tract infection, or UTI, affects the urinary tract and can be uncomfortable for children. This handout will tell you about UTIs, the symptoms of a UTI, how we test for and treat a UTI and how you can help prevent future UTIs.
Hematuria is defined as the presence of red blood cells (RBCs) in the urine. Hematuria can either be microscopic, which means RBCs can only be seen under the microscope. This means blood can be seen with the naked eye. Hematuria is quite common in both adults and children.
Blood pressure is the pressure that the flow of blood exerts on a blood vessel while the heart pumps. This handout will tell about high blood pressure and how we diagnose and treat it. It will also tell you how you can help your child if he or she has high blood pressure.
Julie Ingelfinger, MD, is the recipient of the 2012 American Society of Pediatric Nephrology’s (ASPN) Founder’s Award, given annually to recognize persons who have made a “unique and lasting contribution to the field of pediatric nephrology.”
MGHfC Pediatric Nephrology & Hypertension Program
Yawkey Center for Outpatient Care
To schedule an appointment with a MassGeneral for Children pediatric specialist, please call 888-644-3248 or complete our online appointment form to request an appointment.
Physicians may call 888-644-3211 or use the online referral form and the Access & New Appointment Center will call your patient within 1 business day.
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