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[Right abdominal flank pain]
Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|October 10, 1989
Summary
Autosomal dominant polycystic kidney disease (ADPKD) is a genetic disorder causing enlarged kidneys with cysts. Early diagnosis in a young female with family history allowed for monitoring, showing normal renal function and blood pressure over four years.
Area of Science:
- Nephrology
- Genetics
- Medical Imaging
Background:
- Autosomal dominant polycystic kidney disease (ADPKD) is a common inherited renal disorder.
- Genetic predisposition plays a crucial role in ADPKD development.
- Early identification of ADPKD is vital for proactive management.
Observation:
- A 20-year-old female presented with a two-week history of right flank pain.
- Family history revealed affected father and sister, suggesting hereditary cystic kidney disease.
- Abdominal ultrasound demonstrated symmetrically enlarged kidneys with multiple cysts.
Findings:
- Diagnosis of autosomal dominant polycystic kidney disease (ADPKD) was confirmed.
- Over a four-year follow-up, renal function remained normal.
- Blood pressure remained within normal limits throughout the observation period.
Implications:
- This case highlights the importance of family history in diagnosing ADPKD.
- Normal renal function and blood pressure in the early stages suggest a favorable prognosis.
- Long-term monitoring is essential for patients with ADPKD, even in the absence of immediate complications.