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Published on: June 23, 2015
Renal cystic diseases during the perinatal and neonatal period
R Raina1,2, M DeCoy3, R Chakraborty1,2
1Department of Nephrology, Akron Children's Hospital, Akron, OH, USA.
Insights
This review covers renal cystic diseases, emphasizing early detection and management of conditions like polycystic kidney disease to prevent severe chronic kidney and liver complications.
Area of Science:
- Nephrology
- Medical Genetics
Background:
- Renal cystic diseases are a diverse group of conditions affecting all ages.
- They can range from single cysts to diffuse cortical changes, with potential for severe outcomes.
- Early recognition is vital to prevent chronic kidney and hepatic disease.
Purpose of the Study:
- To provide a comprehensive overview of renal cystic diseases.
- To detail their epidemiology, genetics, pathophysiology, diagnosis, and management.
- To highlight the importance of prenatal care and pregnancy counseling.
Main Methods:
- Literature review of genetic and sporadic renal cystic diseases.
- Discussion of specific conditions including polycystic kidney disease, multicystic dysplastic kidney, and calyceal diverticula.
- Emphasis on clinical presentation and management strategies.
Main Results:
- Renal cystic diseases exhibit significant clinical and genetic heterogeneity.
- Many forms can lead to life-threatening complications, including chronic kidney and liver disease.
- Effective management requires understanding disease-specific features and timely intervention.
Conclusions:
- A thorough understanding of renal cystic diseases is crucial for clinicians.
- Early detection and management are key to improving outcomes, especially in vulnerable populations.
- Prenatal diagnosis and counseling are important components of care for at-risk pregnancies.
Abstract:
Renal cystic diseases are a clinically and genetically diverse group of renal diseases that can manifest in utero, infancy, or throughout childhood and adulthood. These diseases may be unilateral or bilateral with a single cyst or multiple cysts, or with increased echogenicity of the renal cortex without macroscopic cysts. Certain cystic renal diseases are life-threatening, with many developing chronic kidney and hepatic disease if not recognized early enough. Therefore, due to the prevalence and life-altering complications of this specific group of diseases in vulnerable populations, it is crucial for clinicians and healthcare providers to have an overall understanding of cystic diseases and how to pre-emptively detect and manage these conditions. In this review, we discuss in detail the epidemiology, genetics and pathophysiology, diagnosis, presentation, and management of numerous genetic and sporadic renal cystic diseases, such as polycystic kidney disease, multicystic dysplastic kidney, and calyceal diverticula, with an emphasis on prenatal care and pregnancy counseling.
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