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.

Related Concept Videos

Nephrons01:10

Nephrons

The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
5.5K
Urinary Tract Calculi I: Introduction01:28

Urinary Tract Calculi I: Introduction

Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
281
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
178
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
302
Disorders of the Urinary System01:20

Disorders of the Urinary System

The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
917
Renal Tubule and Collecting Duct01:24

Renal Tubule and Collecting Duct

The renal tubule is divided into three parts: the proximal convoluted tubule (PCT), the Loop of Henle (LOH), and the distal convoluted tubule (DCT).
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
2.6K