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Updated: May 8, 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
[Infantile polycystic kidney disease: a case report and literature review]
Fang Luo1, Wei-Zhong Gu, Zheng Chen
1Intensive Care Unit, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
Insights
Perinatal autosomal recessive polycystic kidney disease in infants often leads to severe respiratory and renal failure. Early aggressive respiratory support and renal replacement therapy can improve outcomes for affected newborns.
Area of Science:
- Pediatric Nephrology
- Medical Genetics
- Neonatology
Background:
- Autosomal recessive polycystic kidney disease (ARPKD) is a severe genetic disorder affecting newborns.
- Perinatal ARPKD presents significant diagnostic and management challenges.
Observation:
- Clinical data from 12 perinatal ARPKD cases were analyzed.
- Infants exhibited enlarged kidneys, severe respiratory distress, and renal compromise.
- Prenatal ultrasound often detected enlarged kidneys and oligohydramnios.
Findings:
- Histological analysis revealed pulmonary hypoplasia and dilated renal and intrahepatic bile ducts.
- Neonatal mortality was high due to respiratory and renal failure.
- Survivors required renal replacement therapy, including dialysis, nephrectomy, or transplantation.
Implications:
- Aggressive respiratory support is crucial for immediate survival.
- Renal replacement therapies offer a potential pathway to improved long-term outcomes.
- Early diagnosis and intervention are critical for managing perinatal ARPKD.
Objective:
To summarize the clinical characteristics, diagnosis, treatments and outcomes of perinatal autosomal recessive polycystic kidney disease.
Methods:
The clinical data of one case with infantile polycystic kidney disease diagnosed in perinatal stage and the reports of 11 cases seen in the past 15 years searched in Pubmed, OVID and Elsevier and CNKI, Wanfang database by using the polycystic kidney disease, infant, perinatal, autosomal recessive and case report as keyword were reviewed and analyzed.
Results:
The infant was characterized by huge kidneys, severe respiratory and renal compromise. The kidneys were symmetrically enlarged and highly echogenic by ultrasonographic examination and showed high-signal intensity on T2-weighted images by MRI. Histologic analysis showed pulmonary hypoplasia, numerous dilated and elongated tubular structures in the kidney and dilated intrahepatic biliary ducts. Among the 12 cases, 8 cases' presumptive diagnosis was made by prenatal ultrasound revealed enlarged kidneys and oligohydramnios. All cases suffered respiratory distress after birth, and 5 cases complicated pneumothorax. 6 cases died in neonatal stage because of respiratory failure.1 case died 2 m after birth because of renal failure. Five cases are alive and underwent dialysis, nephrectomy or renal transplant.
Conclusion:
Newborn infants with perinatal autosomal recessive polycystic kidney disease often have poor outcome and died from respiratory and renal failure. Aggressive respiratory support and renal replacement therapy (including nephrectomy, dialysis and transplantation) may give these infants a favorable outcome.
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