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Developmental renal pathology: its past, present, and future.

Maria M Rodriguez1

  • 1University of Miami, School of Medicine, Jackson Children's Hospital, Department of Pathology, 1611 NW 12 Avenue, Miami, FL 33184, USA. mrodrig2@med.miami.edu

Fetal and Pediatric Pathology
|August 13, 2005
PubMed
Summary

Congenital anomalies of the kidney and urinary tract cause 40% of childhood end-stage renal failure. This review covers developmental renal lesions, embryology, and advances in diagnosis and treatment for better prognoses.

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Congenital Anomalies of the Kidney and the Urinary Tract (CAKUT).

Fetal and pediatric pathology·2014

Area of Science:

  • Pediatric Nephrology
  • Developmental Biology
  • Medical Genetics

Background:

  • Congenital anomalies of the kidney and urinary tract (CAKUT) are a leading cause of pediatric end-stage renal failure.
  • Understanding CAKUT is crucial for managing childhood kidney diseases.

Purpose of the Study:

  • To provide a comprehensive overview of developmental renal lesions in children.
  • To review embryology, pathology, and postnatal development of the kidney.
  • To discuss recent advances and future directions in diagnosing and treating CAKUT.

Main Methods:

  • Review of historical references and current literature on CAKUT.
  • Analysis of embryological and pathological aspects of renal development.
  • Discussion of diagnostic modalities like fetal ultrasonography and molecular biology.

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Main Results:

  • CAKUT encompasses a wide spectrum of conditions, including renal agenesis, dysplasias, polycystic kidney diseases, and vesicoureteral reflux.
  • Advances in fetal ultrasonography and molecular biology offer improved diagnostic capabilities.
  • Pharmacogenetics presents promising future avenues for enhanced prognosis.

Conclusions:

  • CAKUT represents a significant burden in pediatric renal failure.
  • Integrated approaches combining embryology, pathology, and modern diagnostics are essential.
  • Future research in pharmacogenetics holds potential for personalized treatments and improved outcomes for affected children.