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Updated: Jun 28, 2026

Use of Ultra-high Field MRI in Small Rodent Models of Polycystic Kidney Disease for In Vivo Phenotyping and Drug Monitoring
Published on: June 23, 2015
Polycystic kidney and hepatic disease with mental retardation and hand anomalies in three siblings
Tomás Seeman1, Marcela Malíková, Kveta Bláhová
1Department of Pediatrics, Second Medical School, University Hospital Motol, Charles University Prague, V Uvalu 84, 15006, Prague, Czech Republic. tomas.seeman@lfmotol.cuni.cz
Insights
This study describes a rare genetic syndrome in a family with congenital polycystic kidneys, hepatic fibrosis, and developmental delays. The findings highlight the etiological heterogeneity of such conditions.
Area of Science:
- Genetics
- Pediatrics
- Nephrology
Background:
- Congenital polycystic kidney disease (CPKD) with hepatic fibrosis presents a diagnostic challenge.
- Autosomal recessive inheritance is suspected in syndromic forms of CPKD.
Observation:
- A family presented with three children exhibiting CPKD, hepatic fibrosis, mental retardation, hand anomalies, and dysmorphic features.
- All affected children developed chronic renal failure.
Findings:
- Haplotype analysis excluded linkage to the known autosomal recessive polycystic kidney disease locus.
- The inheritance pattern and clinical features suggest a distinct autosomal recessive syndrome.
- This syndrome shares similarities with a previously reported entity by Labrune et al.
Implications:
- This report contributes to understanding the etiological heterogeneity of polycystic kidney and liver disease.
- The syndrome should be considered in the differential diagnosis of early-onset polycystic kidneys.
- Mental retardation and hand anomalies are key diagnostic indicators for this specific syndrome.
Abstract:
A family with three children affected with congenital polycystic kidneys, hepatic fibrosis, mental retardation, minor anomalies of the hands, and dysmorphic facial features is reported. All children progressed to chronic renal failure. Linkage to the locus for autosomal recessive polycystic kidney disease was excluded by haplotype analysis. The family is endogamic, and the affected siblings are of both sexes, which is in agreement with an autosomal recessive determination of this syndrome. A similar syndrome was reported in 1990 by Labrune et al. [J Pediatr Gastroenterol Nutr (1990) 10:540-543]. Our report provides further evidence for the etiological heterogeneity of polycystic kidney with hepatic fibrosis. The syndrome reported here should be considered in the differential diagnosis of the early manifestation of polycystic kidneys. Mental retardation and hand anomalies are the hallmarks for the differential diagnosis of this syndrome.
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