Autosomal recessive polycystic kidney disease

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Autosomal recessive polycystic kidney disease, abbreviated ARPKD, is an uncommon recessive genetic condition leading to renal failure.

General

  • Uncommon.
  • Homogenous for mutated PKHD1 gene (polycystic kidney and hepatic disease).[1]
  • Associated with congenital hepatic fibrosis

Subdivided into:[2]

  • Neonatal.
  • Infantile.
  • Juvenile.

Gross

Features:[2]

  • Marked bilateral enlargement - may almost fill the abdomen.
  • Smooth cortical surface.
  • Poorly demarcated corticomedullary junction.

DDx:

Images:

Microscopic

Features:[4]

  • Numerous cysts of the collecting ducts.
    • Typically radially arranged.
    • Lined by cuboidal cells.
  • Abnormally low number of glomeruli.


See also

References

  1. Online 'Mendelian Inheritance in Man' (OMIM) 263200
  2. Jump up to: 2.0 2.1 Klatt, Edward C. (2006). Robbins and Cotran Atlas of Pathology (1st ed.). Saunders. pp. 235. ISBN 978-1416002741.
  3. Lonergan, GJ.; Rice, RR.; Suarez, ES.. "Autosomal recessive polycystic kidney disease: radiologic-pathologic correlation.". Radiographics 20 (3): 837-55. PMID 10835131.
  4. Klatt, Edward C. (2006). Robbins and Cotran Atlas of Pathology (1st ed.). Saunders. pp. 236. ISBN 978-1416002741.