Difference between revisions of "Acquired cystic renal disease"
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'''Acquired renal cystic disease''', also '''acquired cystic disease''', is a benign change of the [[kidney]] seen in chronic renal failure. | |||
==General== | |||
*Thought to arise due to uremia,<ref name=pmid7861721>{{cite journal |author=Fick GM, Gabow PA |title=Hereditary and acquired cystic disease of the kidney |journal=Kidney Int. |volume=46 |issue=4 |pages=951–64 |year=1994 |month=October |pmid=7861721 |doi= |url=http://www.nature.com/ki/journal/v46/n4/pdf/ki1994354a.pdf}}</ref> not specific to the type of renal dialysis, i.e. hemodialysis vs. peritoneal dialysis. | |||
*Presence of cysts dependent on duration of dialysis:<ref name=pmid7861721/> | |||
**< 3 years ~44%. | |||
**>4 years ~80%. | |||
**>10 years ~90%. | |||
*Associated with [[papillary renal cell carcinoma]].<ref>{{Ref DARP|438}}</ref> | |||
==Microscopic== | |||
Features:<ref name=pmid1819219>{{cite journal |author=Kessler M, Testevuide P, Aymard B, Huu TC |title=Acquired renal cystic disease mimicking adult polycystic kidney disease in a patient undergoing long-term hemodialysis |journal=Am. J. Nephrol. |volume=11 |issue=6 |pages=513–7 |year=1991 |pmid=1819219 |doi= |url=}}</ref> | |||
*Cysts - location: cortex and medulla. | |||
**Lined by simple flattened epithelium. | |||
DDx: | |||
*[[Autosomal dominant polycystic kidney disease]] rarely,<ref name=pmid1819219>{{cite journal |author=Kessler M, Testevuide P, Aymard B, Huu TC |title=Acquired renal cystic disease mimicking adult polycystic kidney disease in a patient undergoing long-term hemodialysis |journal=Am. J. Nephrol. |volume=11 |issue=6 |pages=513–7 |year=1991 |pmid=1819219 |doi= |url=}}</ref> see ''Microscopic'' in [[ADPKD]]. | |||
*[[Acquired cystic disease-associated renal cell carcinoma]]. | |||
==See also== | |||
*[[Cystic kidney diseases]]. | |||
==References== | |||
{{Reflist|1}} | |||
[[Category:Genitourinary pathology]] | |||
Revision as of 03:44, 27 April 2016
Acquired renal cystic disease, also acquired cystic disease, is a benign change of the kidney seen in chronic renal failure.
General
- Thought to arise due to uremia,[1] not specific to the type of renal dialysis, i.e. hemodialysis vs. peritoneal dialysis.
- Presence of cysts dependent on duration of dialysis:[1]
- < 3 years ~44%.
- >4 years ~80%.
- >10 years ~90%.
- Associated with papillary renal cell carcinoma.[2]
Microscopic
Features:[3]
- Cysts - location: cortex and medulla.
- Lined by simple flattened epithelium.
DDx:
- Autosomal dominant polycystic kidney disease rarely,[3] see Microscopic in ADPKD.
- Acquired cystic disease-associated renal cell carcinoma.
See also
References
- ↑ 1.0 1.1 Fick GM, Gabow PA (October 1994). "Hereditary and acquired cystic disease of the kidney". Kidney Int. 46 (4): 951–64. PMID 7861721. http://www.nature.com/ki/journal/v46/n4/pdf/ki1994354a.pdf.
- ↑ Fogo, Agnes B.; Kashgarian, Michael (2005). Diagnostic Atlas of Renal Pathology: A Companion to Brenner and Rector's The Kidney 7E (1st ed.). Saunders. pp. 438. ISBN 978-1416028710.
- ↑ 3.0 3.1 Kessler M, Testevuide P, Aymard B, Huu TC (1991). "Acquired renal cystic disease mimicking adult polycystic kidney disease in a patient undergoing long-term hemodialysis". Am. J. Nephrol. 11 (6): 513–7. PMID 1819219.