Apparent normalisation of fetal renal size in autosomal dominant polycystic kidney disease (PKD1).

Abstract:

:We present a family with adult onset autosomal dominant polycystic kidney disease (ADPKD) in two generations, linked to the PKD1 locus and with paternal transmission to the fetus. The fetus carried the PKD1 haplotype and was, therefore a gene carrier. Progressive hyperechogenic renal enlargement, but no cysts, was documented by serial fetal ultrasounds at 21, 23 and 34 weeks of gestation. Surprisingly, the newborn renal scan showed normal sized kidneys with apparently normal corticomedullary differentiation. However, at 11 months of age, the evolution of cysts in one kidney, and then in the other kidney at 20 months, was documented by ultrasound in the absence of clinical symptoms or signs. The observed normalisation of fetal renal ultrasound appearances at birth has not previously been described in fetuses presenting with PKD1.

journal_name

Clin Genet

journal_title

Clinical genetics

authors

Jeffery S,Saggar-Malik AK,Economides DL,Blackmore SE,MacDermot KD

doi

10.1111/j.1399-0004.1998.tb02701.x

subject

Has Abstract

pub_date

1998-04-01 00:00:00

pages

303-7

issue

4

eissn

0009-9163

issn

1399-0004

journal_volume

53

pub_type

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