Congenital anomalies of kidney and urinary tract.

Abstract:

:Congenital anomalies of the kidney and urinary tract anatomy (CAKUT) are common in children and represent approximately 30% of all prenatally diagnosed malformations. CAKUT is phenotypically variable and can affect the kidney(s) alone and/or the lower urinary tract. The spectrum includes more common anomalies such as vesicoureteral reflux and, rarely, more severe malformations such as bilateral renal agenesis. In young children, congenital anomalies are the leading cause of kidney failure and for kidney transplantation or dialysis. CAKUT can also lead to significant renal problems in adulthood and may present itself with hypertension and/or proteinuria. Congenital renal anomalies can be sporadic or familial, syndromic (also affecting nonrenal or non-urinary tract tissues), or nonsyndromic. Genetic causes have been identified for the syndromic forms and have shed some light into the molecular mechanisms of kidney development in human beings. The genetic causes for the more common nonsyndromic forms of CAKUT are unknown. The role of prenatal interventions and postnatal therapies as well as the benefits of screening affected individuals and their family members are not clear.

journal_name

Semin Nephrol

journal_title

Seminars in nephrology

authors

Toka HR,Toka O,Hariri A,Nguyen HT

doi

10.1016/j.semnephrol.2010.06.004

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

374-86

issue

4

eissn

0270-9295

issn

1558-4488

pii

S0270-9295(10)00096-3

journal_volume

30

pub_type

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