@article{Kumar_Chowdary_VG_Das_Vuyyuru_2020, title={Renal Papillary Necrosis as the First Presenting Clinical Feature in a Sickle Beta and Thalassemic Child}, volume={40}, url={https://www.nepjol.info/index.php/JNPS/article/view/29617}, DOI={10.3126/jnps.v40i3.29617}, abstractNote={<p class="p1"><span class="s1">In sickle cell disease (SCD), the clinical manifestations are due to episodes of vascular occlusion and haemolysis. Most of the children experience vaso-occlusive pain episodes by the age of six years. Renal injury in sickle cell disease referred to as sickle cell nephropathy is a frequent yet under-recognised complication. Renal papillary necrosis (RPN) as the first presentation in SCD is rare. We are reporting a 12 year old child with no prior vaso-occlusive episodes, presenting with renal papillary necrosis due to Sickle Beta and Thalassemia.</span></p>}, number={3}, journal={Journal of Nepal Paediatric Society}, author={Kumar, Jagadish and Chowdary, Satyesh and VG, Manjunath and Das, Sudha Kiran and Vuyyuru, Manovihari}, year={2020}, month={Dec.}, pages={274–277} }