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Polycystic kidneys without radiologic enlargement.

W M Trebbin, J H Newhouse, E Whitmore

    Urology
    |January 1, 1978
    PubMed
    Summary
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    Adult polycystic kidney disease typically presents with enlarged kidneys. This case report highlights the rare occurrence of normal-sized polycystic kidneys diagnosed in an elderly patient.

    Area of Science:

    • Nephrology
    • Medical Imaging
    • Genetics

    Background:

    • Autosomal dominant polycystic kidney disease (ADPKD) is a common genetic disorder.
    • ADPKD is characterized by the development of numerous cysts in the kidneys.
    • Kidney enlargement is a hallmark feature, often leading to kidney failure.

    Observation:

    • This report details a unique case of ADPKD in an elderly individual.
    • The patient presented with kidneys of normal size, contrary to typical presentations.
    • Intravenous pyelogram (IVP) findings were initially misleading due to normal kidney dimensions.

    Findings:

    • The diagnosis of polycystic kidneys was confirmed despite normal kidney size.
    • This challenges the conventional diagnostic exclusion criteria based on kidney volume.

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  • The case underscores the variability in ADPKD presentation across different age groups.
  • Implications:

    • Revising diagnostic criteria for polycystic kidney disease may be necessary.
    • Consideration of ADPKD in elderly patients with normal-sized kidneys is warranted.
    • Further research into atypical ADPKD presentations could improve early diagnosis and management.