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Polycystic kidney disease

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435:, an immotile, hair-like cellular organelle present on the surface of most cells in the body, anchored in the cell body by the basal body. In the kidney, primary cilia have been found to be present on most cells of the nephron, projecting from the apical surface of the renal epithelium into the tubule lumen. The cilia were believed to bend in the urine flow, leading to changes in signalling, however this has since been shown to be an experimental error (the bending of cilia was an artifact of focal plane compensation, and also the actual effect on micturition by severe hypertension and cardiac arrest) and that bending of cilia does not contribute to alterations in Ca flux. While it is not known how defects in the primary cilium lead to cyst development, it is thought to possibly be related to disruption of one of the many signaling pathways regulated by the primary cilium, including intracellular calcium, Wnt/β-catenin, cyclic adenosine monophosphate (cAMP), or planar cell polarity (PCP). Function of the primary cilium is impaired, resulting in disruption of a number of intracellular signaling cascades which produce differentiation of cystic epithelium, increased cell division, increased apoptosis, and loss of resorptive capacity. 298: 51: 290: 484: 2387: 504:(ADPKD) in mice. Patient communities have been combining both ketogenic diets and time-restricted feeding with a low-oxalate diet to prevent the formation of stones and early reports show an average of 17% increase in kidney function after approximately one year on a ketogenic, time-restricted dietary regimen. If and when the disease progresses enough in a given case, the 404: 523:, which can be done at least two different ways at varying frequencies and durations (whether it is done at home or in the clinic depends on the method used and the patient's stability and training) and eventually, if they are eligible because of the nature and severity of their condition and if a suitable match can be found, unilateral or bilateral 282: 499:
might be able to halt, or even reverse progression in mice, and the results of a first human case series study are showing potential benefit. The results of a 3-month randomized, prospective dietary intervention clinical trial are pending. In addition, recent research indicates that mild to moderate
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The disease is characterized by a 'second hit' phenomenon, in which a mutated dominant allele is inherited from a parent, with cyst formation occurring only after the normal, wild-type gene sustains a subsequent second genetic 'hit', resulting in renal tubular cyst formation and disease progression.
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proteins appear to be involved in both autosomal dominant and recessive polycystic kidney disease due to defects in both proteins. Both proteins have communication with calcium channel proteins, and cause reduction in resting (intracellular) calcium and endoplasmic reticulum storage of calcium.
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within the kidney. These cysts may begin to develop in utero, in infancy, in childhood, or in adulthood. Cysts are non-functioning tubules filled with fluid pumped into them, which range in size from microscopic to enormous, crushing adjacent normal tubules and eventually rendering them
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PKD is one of the most common hereditary diseases in the United States, affecting more than 600,000 people. It is the cause of nearly 10% of all end-stage renal disease. It equally affects men, women, and all races. PKD occurs in some animals as well as humans.
495:) was introduced as the first FDA-approved treatment for PKD. In a recent long-term study, patients using Tolvaptan had a 6.4% higher kidney function after 5 years compared to standard of care. In 2019, a team of researchers at UCSB found that a 2273: 2258: 143:
PKD is caused by abnormal genes that produce a specific abnormal protein; this protein has an adverse effect on tubule development. PKD is a general term for two types, each having their own pathology and genetic cause:
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PKD is caused by abnormal genes which produce a specific abnormal protein which has an adverse effect on tubule development. PKD is a general term for two types, each having their own pathology and genetic cause:
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Diagnosis may be suspected from one, some, or all of the following: new onset flank pain or red urine; a positive family history; palpation of enlarged kidneys on physical exam; an incidental finding on abdominal
387:(ARPKD) (OMIM #263200) is the less common of the two types of PKD, with an incidence of 1:20,000 live births and is typically identified in the first few weeks after birth. Unfortunately, the kidneys are often 832: 773: 2047: 1282:
Kimberling WJ, Kumar S, Gabow PA, Kenyon JB, Connolly CJ, Somlo S (December 1993). "Autosomal dominant polycystic kidney disease: localization of the second gene to chromosome 4q13-q23".
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Kumar S, Kimberling WJ, Gabow PA, Kenyon JB (June 1991). "Genetic linkage studies of autosomal dominant polycystic kidney disease: search for the second gene in a large Sicilian family".
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Mochizuki T, Wu G, Hayashi T, Xenophontos SL, Veldhuisen B, Saris JJ, et al. (May 1996). "PKD2, a gene for polycystic kidney disease that encodes an integral membrane protein".
2419: 367:, although fewer than 5% of nephrons are thought to be involved. As the cysts accumulate fluid, they enlarge, separate from the nephron, compress the neighboring kidney 1608:"Ketogenic dietary interventions in autosomal dominant polycystic kidney disease-a retrospective case series study: first insights into feasibility, safety and effects" 334: 3319: 345:
and codes for a protein involved in cell cycle regulation and intracellular calcium transport in epithelial cells and is responsible for 85% of the cases of ADPKD.
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polycystic kidney disease (ADPKD) is the most common of all the inherited cystic kidney diseases with an incidence of 1:500 live births. Studies show that 10% of
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PKD3 recently appeared in research papers as a postulated third gene. Fewer than 10% of cases of ADPKD appear in non-ADPKD families. Cyst formation begins
862: 840: 2073: 2739: 534:, to control infections of the cysts in the kidneys, and if affected, the liver, when needed for a certain duration to combat infection, by using, " 211: 2051: 650: 530:
A Cochrane Review study of autosomal dominant polycystic kidney disease made note of the fact that it is important at all times, while avoiding
628: 3276: 3066: 2031: 3144: 3061: 196: 778: 2288: 1818: 1437: 872: 672: 352:, with inward selectivity for K>Na>>Ca and outward selectivity for Ca2+ ≈ Ba2+ > Na+ ≈ K+, are coded for by PKD2 on 3180: 3073: 2834: 3271: 3106: 2802: 2764: 2732: 2511: 219: 3261: 2927: 1094:"Mutations in GANAB, Encoding the Glucosidase IIα Subunit, Cause Autosomal-Dominant Polycystic Kidney and Liver Disease" 483: 2992: 2838: 1770:"A mild reduction of food intake slows disease progression in an orthologous mouse model of polycystic kidney disease" 297: 289: 50: 3266: 3256: 3193: 3289: 3085: 2900: 2882: 2812: 2647: 509: 223: 3038: 3309: 3137: 2987: 2912: 2769: 2725: 2642: 2299: 1478: 309: 210:(RAAS), frequent cyst infections, urinary bleeding, and declining renal function. Hypertension is treated with 2411: 2402: 411:
Both autosomal dominant and autosomal recessive polycystic kidney disease cyst formation are tied to abnormal
1672:"Metabolic Reprogramming in Autosomal Dominant Polycystic Kidney Disease: Evidence and Therapeutic Potential" 2895: 2869: 2850: 2702: 2606: 2516: 2077: 234:. Management from the time of the suspected or definitive diagnosis is by an appropriately trained doctor. 176: 2370: 1891: 959:
Bisceglia M, Galliani CA, Senger C, Stallone C, Sessa A (January 2006). "Renal cystic diseases: a review".
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ADPKD individuals might have a normal life; conversely, ARPKD can cause kidney dysfunction and can lead to
2979: 2974: 2945: 524: 2854: 2495: 2487: 1844:"Crystal deposition triggers tubule dilation that accelerates cystogenesis in polycystic kidney disease" 1235:"Exclusion of autosomal dominant polycystic kidney disease type II (ADPKD2) from 160 cM of chromosome 1" 531: 231: 2807: 2784: 2667: 2540: 1326: 305: 301:
Cartoon of autosomal recessive polycystic kidney disease with normal kidney inset to right of diagram
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Torres JA, Kruger SL, Broderick C, Amarlkhagva T, Agrawal S, Dodam JR, et al. (December 2019).
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Cartoon of autosomal dominant polycystic kidney disease with normal kidney inset to right of diagram
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Porath B, Gainullin VG, Cornec-Le Gall E, Dillinger EK, Heyer CM, Hopp K, et al. (June 2016).
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Gene PKD2 is identified, using genetic linkage study, on chromosome 4. A group of voltage-linked
75: 152:(ARPKD). The abnormal gene exists in all cells in the body; as a result, cysts may occur in the 3015: 2954: 2826: 2820: 2614: 2585: 2552: 2339: 2310: 2223: 2178: 2135: 2027: 2004: 1975:"Interventions for preventing the progression of autosomal dominant polycystic kidney disease" 1919:"Interventions for infected cysts in people with autosomal dominant polycystic kidney disease" 1873: 1799: 1750: 1701: 1637: 1588: 1539: 1490: 1433: 1408: 1342: 1299: 1264: 1207: 1172: 1123: 1074: 1022: 976: 930: 868: 814: 756: 725: 604: 172: 93: 63: 1005:
Torres VE, Harris PC, Pirson Y (April 2007). "Autosomal dominant polycystic kidney disease".
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by the age of 40–60. ADPKD1 and ADPKD2 are very different, in that ADPKD2 is much milder.
520: 372: 227: 222:(ARBs). Infections are treated with antibiotics. Declining renal function is treated with 2164: 1657:"Ketogenic Dietary Interventions in Autosomal Dominant Polycystic Kidney Disease (ADPKD)" 1606:
Strubl S, Oehm S, Torres JA, Grundmann F, Haratani J, Decker M, et al. (June 2022).
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Zhou X, Davenport E, Ouyang J, Hoke ME, Garbinsky D, Agarwal I, et al. (May 2022).
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Currently, there are no therapies proven effective to prevent the progression of ADPKD.
250:. Other symptoms include pain in the back, and cyst formation (renal and other organs). 3048: 3030: 3010: 2935: 2905: 2774: 2575: 2472: 2464: 2449: 2218: 2191: 2173: 2148: 2130: 2105: 1999: 1974: 1868: 1843: 1794: 1769: 1745: 1720: 1696: 1671: 1632: 1607: 1583: 1558: 1534: 1509: 1403: 1376: 1259: 1234: 1167: 1142: 1141:
Thivierge C, Kurbegovic A, Couillard M, Guillaume R, Coté O, Trudel M (February 2006).
1118: 1093: 972: 925: 900: 720: 695: 551: 535: 513: 496: 464: 432: 349: 2282: 1295: 1018: 711: 3303: 2545: 2530: 539: 460: 342: 184: 1940: 1354: 1219: 1158: 988: 3101: 2874: 2692: 2350: 2192:"Polycystic kidney disease: inheritance, pathophysiology, prognosis, and treatment" 1990: 1842:
Torres JA, Rezaei M, Broderick C, Lin L, Wang X, Hoppe B, et al. (July 2019).
1377:"Polycystic kidney disease: inheritance, pathophysiology, prognosis, and treatment" 1034: 505: 420: 416: 353: 313: 132: 1656: 1338: 135:
become structurally abnormal, resulting in the development and growth of multiple
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Bolignano D, Palmer SC, Ruospo M, Zoccali C, Craig JC, Strippoli GF (July 2015).
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Warner G, Hein KZ, Nin V, Edwards M, Chini CC, Hopp K, et al. (May 2016).
1574: 1525: 1510:"Pooled Data Analysis of the Long-Term Treatment Effects of Tolvaptan in ADPKD" 1109: 809: 792: 3214: 3188: 3153: 2861: 2830: 2632: 2580: 2365: 1931: 1918: 452: 388: 368: 68: 1956:"Polycystic Kidney Disease: Practice Essentials, Background, Pathophysiology" 1494: 2345: 2267: 1233:
Kumar S, Kimberling WJ, Gabow PA, Shugart YY, Pieke-Dahl S (November 1990).
744: 492: 243: 187:; or an incidental finding of abnormal kidney function on routine lab work ( 2227: 2182: 2139: 2008: 1877: 1803: 1754: 1736: 1721:"Food Restriction Ameliorates the Development of Polycystic Kidney Disease" 1705: 1641: 1592: 1543: 1412: 1176: 1127: 1078: 1026: 980: 934: 818: 729: 242:
Signs and symptoms include high blood pressure, headaches, abdominal pain,
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or other practitioner and the patient will have to decide what form of
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calorie restriction or time-restricted feeding slow the progression of
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in Europe and the U.S. were initially diagnosed and treated for ADPKD.
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Severely affected polycystic kidneys removed at time of transplantation
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Essentials of Pathophysiology: Concepts of Altered Health States
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Complications include hypertension due to the activation of the
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International Journal of Nephrology and Renovascular Disease
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Montero N, Sans L, Webster AC, Pascual J (29 January 2014).
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International Journal of Nephrology and Renovascular Disease
1053:"Polycystic kidney disease: cell division without a c(l)ue?" 285:
CT scan showing autosomal dominant polycystic kidney disease
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Kipp KR, Rezaei M, Lin L, Dewey EC, Weimbs T (April 2016).
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of the same area. A physical exam/test can reveal enlarged
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Comprehensive Clinical Nephrology: Expert Consult - Online
1143:"Overexpression of PKD1 causes polycystic kidney disease" 901:"MicroRNAs in the pathogenesis of cystic kidney disease" 391:, resulting in a 30% death rate in newborns with ARPKD. 1819:"6 Ways People with PKD Can Lower Their Blood Pressure" 743:
Kimberling WJ, Pieke-Dahl SA, Kumar S (November 1991).
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Most cases progress to bilateral disease in adulthood.
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Clinical Journal of the American Society of Nephrology
2074:"PKD - Polycystic Kidney Disease - British Shorthair" 2026:. Philadelphia, PA: F.A. Davis Company. p. 443. 1954:
Torra R (2018-07-20). Talavera F, Aronoff GR (eds.).
1892:"Breakthrough Results After 7 Years of Reversing Pkd" 516:, typically stage 4 or 5 of chronic kidney disease). 2240: 3244: 3228: 3160: 3094: 3047: 3029: 2944: 2926: 2783: 2755: 2683: 2676: 2660: 2623: 2605: 2598: 2566: 2463: 2456: 2325: 2244: 443:Polycystic kidney disease can be ascertained via a 102: 92: 84: 74: 62: 40: 35: 1375:Halvorson CR, Bremmer MS, Jacobs SC (2010-06-24). 1370: 1368: 1366: 1364: 164:. This genetic defect can also cause aortic root 1774:American Journal of Physiology. Renal Physiology 954: 952: 950: 948: 946: 944: 512:will be used to treat end-stage kidney disease ( 2106:"The cell biology of polycystic kidney disease" 1912: 1910: 1908: 1426:Johnson RJ, Feehally J, Floege J (2014-09-05). 745:"The genetics of cystic diseases of the kidney" 651:"Autosomal Recessive Polycystic Kidney Disease" 629:"Autosomal Dominant Polycystic Kidney Disease" 3138: 2733: 2427: 1725:Journal of the American Society of Nephrology 1046: 1044: 1000: 998: 894: 892: 890: 888: 886: 884: 576:Autosomal recessive polycystic kidney disease 385:Autosomal recessive polycystic kidney disease 265:autosomal recessive polycystic kidney disease 199:). Definitive diagnosis is made by abdominal 150:autosomal recessive polycystic kidney disease 8: 2190:Halvorson CR, Bremmer MS, Jacobs SC (2010). 502:autosomal dominant polycystic kidney disease 277:Autosomal dominant polycystic kidney disease 261:autosomal dominant polycystic kidney disease 146:autosomal dominant polycystic kidney disease 1979:The Cochrane Database of Systematic Reviews 3145: 3131: 3123: 2740: 2726: 2718: 2680: 2602: 2460: 2434: 2420: 2412: 2241: 49: 32: 2217: 2207: 2172: 2129: 2024:Fifth Edition: Diseases of the Human Body 1998: 1930: 1867: 1793: 1744: 1695: 1631: 1582: 1533: 1402: 1392: 1258: 1166: 1117: 1068: 924: 808: 791:Cramer MT, Guay-Woodford LM (July 2015). 719: 337:have similar phenotypical presentations. 2050:. International Cat Care. Archived from 482: 296: 288: 212:angiotensin converting enzyme inhibitors 106:Antihypertensives, Life style management 1923:Cochrane Database of Systematic Reviews 587: 3320:Congenital disorders of urinary system 2104:Chapin HC, Caplan MJ (November 2010). 599: 597: 595: 593: 591: 3277:Autosomal recessive polycystic kidney 3067:Autosomal recessive polycystic kidney 1848:The Journal of Clinical Investigation 867:. Lippincott Williams & Wilkins. 175:, which if they rupture, can cause a 27:Congenital disorder of urinary system 7: 3062:Autosomal dominant polycystic kidney 2165:10.1146/annurev.med.60.101707.125712 673:"What Is Polycystic Kidney Disease?" 208:renin–angiotensin–aldosterone system 2147:Harris PC, Torres VE (2009-01-01). 1051:Simons M, Walz G (September 2006). 312:(ESKD) patients being treated with 1479:"FDA Approves Tolvaptan for ADPKD" 1098:American Journal of Human Genetics 973:10.1097/01.pap.0000201831.77472.d3 797:Advances in Chronic Kidney Disease 25: 793:"Cystic kidney disease: a primer" 519:That will either be some form of 487:Chr 11 FISH-mapped BACs from CGAP 2385: 609:MedlinePlus Medical Encyclopedia 431:PKD results from defects in the 3181:Asphyxiating thoracic dysplasia 3074:Medullary cystic kidney disease 2835:Proliferating trichilemmal cyst 1670:Nowak KL, Hopp K (April 2020). 1159:10.1128/MCB.26.4.1538-1548.2006 371:, and progressively compromise 2446:malformations and deformations 1991:10.1002/14651858.CD010294.pub2 1147:Molecular and Cellular Biology 961:Advances in Anatomic Pathology 322:mutations in any of the three 1: 2803:Proliferating epidermoid cyst 2765:Langerhans cell histiocytosis 2512:Multicystic dysplastic kidney 1339:10.1126/science.272.5266.1339 1296:10.1016/S0888-7543(11)80001-7 1019:10.1016/S0140-6736(07)60601-1 905:Current Opinion in Pediatrics 712:10.1016/S0140-6736(10)60236-X 220:angiotensin receptor blockers 2928:Human musculoskeletal system 1514:Kidney International Reports 1432:. Elsevier Health Sciences. 917:10.1097/mop.0000000000000168 899:Phua YL, Ho J (April 2015). 779:Dorland's Medical Dictionary 694:Hildebrandt F (April 2010). 3086:Congenital cystic dysplasia 2993:Congenital hepatic fibrosis 2839:Malignant trichilemmal cyst 2149:"Polycystic kidney disease" 2110:The Journal of Cell Biology 1786:10.1152/ajprenal.00551.2015 1454:"Polycystic Kidney Disease" 1239:Journal of Medical Genetics 833:"Polycystic Kidney Disease" 774:"polycystic kidney disease" 605:"Polycystic kidney disease" 3336: 3267:Orofaciodigital syndrome 1 3257:Primary ciliary dyskinesia 3039:Cystic leukoencephalopathy 2076:. Antagene. Archived from 1575:10.1016/j.cmet.2019.09.012 1526:10.1016/j.ekir.2022.02.009 1458:National Kidney Foundation 1110:10.1016/j.ajhg.2016.05.004 810:10.1053/j.ackd.2015.04.001 447:of abdomen, as well as an 274: 125:polycystic kidney syndrome 3285: 3272:McKusick–Kaufman syndrome 3171:Polycystic kidney disease 3107:Von Hippel–Lindau disease 3057:Polycystic kidney disease 2901:Keratin implantation cyst 2883:Pseudocyst of the auricle 2813:Eruptive vellus hair cyst 2648:Penoscrotal transposition 2643:Posterior urethral valves 2502:Polycystic kidney disease 2403:Polycystic kidney disease 2371:Polycystic kidney disease 2153:Annual Review of Medicine 1932:10.1002/14651858.cd010946 696:"Genetic kidney diseases" 510:renal replacement therapy 415:-mediated signaling. The 363:from any point along the 224:renal replacement therapy 113:Polycystic kidney disease 57: 48: 36:Polycystic kidney disease 18:Polycystic Kidney Disease 2988:Polycystic liver disease 2913:Adenoid cystic carcinoma 2868:nonstratified squamous: 2770:Lymphangioleiomyomatosis 1817:Spencer S (2021-12-25). 1659:. University of Cologne. 341:Gene PKD1 is located on 310:end-stage kidney disease 140:non-functional as well. 98:MRI, CT scan, Ultrasound 2896:Cutaneous columnar cyst 2870:Cutaneous ciliated cyst 2851:Steatocystoma multiplex 2794:follicular infundibulum 2517:Medullary sponge kidney 1655:Müller R (2022-08-23). 1612:Clinical Kidney Journal 177:subarachnoid hemorrhage 168:, and aneurysms in the 2980:Nasopalatine duct cyst 2975:Odontogenic keratocyst 2946:Human digestive system 1737:10.1681/ASN.2015020132 861:Porth C (2011-01-01). 749:Seminars in Nephrology 525:kidney transplantation 488: 408: 302: 294: 286: 3262:Senior–Løken syndrome 3194:Bardet–Biedl syndrome 2894:other and ungrouped: 2855:Steatocystoma simplex 2792:stratified squamous: 2775:Cystic bronchiectasis 2488:Papillorenal syndrome 2122:10.1083/jcb.201006173 1251:10.1136/jmg.27.11.697 1070:10.1038/sj.ki.5001534 532:antibiotic resistance 486: 406: 300: 292: 284: 3049:Genitourinary system 2668:Prune belly syndrome 2541:Supernumerary kidney 1688:10.2215/CJN.13291019 1057:Kidney International 3021:Bile duct hamartoma 2209:10.2147/IJNRD.S6939 2054:on 17 November 2016 1624:10.1093/ckj/sfab162 1569:(6): 1007–1023.e5. 1394:10.2147/ijnrd.s6939 1331:1996Sci...272.1339M 1325:(5266): 1339–1342. 1013:(9569): 1287–1301. 706:(9722): 1287–1295. 491:In 2018, Jynarque ( 380:Autosomal recessive 248:excessive urination 44:Kidney - polycystic 3112:Tuberous sclerosis 3006:Biliary hamartomas 2757:Respiratory system 2326:External resources 2022:Tamparo C (2011). 1204:10.1007/BF00204167 489: 409: 306:Autosomal dominant 303: 295: 287: 271:Autosomal dominant 244:blood in the urine 238:Signs and symptoms 3297: 3296: 3154:Diseases of cilia 3120: 3119: 3016:Choledochal cysts 2955:Cysts of the jaws 2827:Trichilemmal cyst 2821:outer root sheath 2715: 2714: 2711: 2710: 2656: 2655: 2615:Bladder exstrophy 2594: 2593: 2586:Duplicated ureter 2380: 2379: 2080:on 17 August 2018 2033:978-0-8036-2505-1 1860:10.1172/JCI128503 1854:(10): 4506–4522. 1489:(6). 2018-06-01. 837:www.niddk.nih.gov 173:cerebral arteries 110: 109: 94:Diagnostic method 30:Medical condition 16:(Redirected from 3327: 3290:ciliary proteins 3252:Alström syndrome 3236:Nephronophthisis 3220:Joubert syndrome 3147: 3140: 3133: 3124: 3095:Other conditions 3079:Nephronophthisis 2998:Peliosis hepatis 2970:Dentigerous cyst 2960:Odontogenic cyst 2742: 2735: 2728: 2719: 2681: 2603: 2536:Nephronophthisis 2526:Horseshoe kidney 2478:Renal hypoplasia 2461: 2436: 2429: 2422: 2413: 2389: 2388: 2242: 2231: 2221: 2211: 2186: 2176: 2143: 2133: 2090: 2089: 2087: 2085: 2070: 2064: 2063: 2061: 2059: 2044: 2038: 2037: 2019: 2013: 2012: 2002: 1970: 1964: 1963: 1951: 1945: 1944: 1934: 1914: 1903: 1902: 1900: 1899: 1888: 1882: 1881: 1871: 1839: 1833: 1832: 1830: 1829: 1814: 1808: 1807: 1797: 1780:(8): F726–F731. 1765: 1759: 1758: 1748: 1731:(5): 1437–1447. 1716: 1710: 1709: 1699: 1667: 1661: 1660: 1652: 1646: 1645: 1635: 1618:(6): 1079–1092. 1603: 1597: 1596: 1586: 1554: 1548: 1547: 1537: 1520:(5): 1037–1048. 1505: 1499: 1498: 1475: 1469: 1468: 1466: 1465: 1450: 1444: 1443: 1423: 1417: 1416: 1406: 1396: 1372: 1359: 1358: 1314: 1308: 1307: 1279: 1273: 1272: 1262: 1230: 1224: 1223: 1187: 1181: 1180: 1170: 1153:(4): 1538–1548. 1138: 1132: 1131: 1121: 1104:(6): 1193–1207. 1089: 1083: 1082: 1072: 1048: 1039: 1038: 1002: 993: 992: 956: 939: 938: 928: 896: 879: 878: 858: 852: 851: 849: 848: 839:. Archived from 829: 823: 822: 812: 788: 782: 771: 765: 764: 740: 734: 733: 723: 691: 685: 684: 682: 680: 669: 663: 662: 660: 658: 647: 641: 640: 638: 636: 625: 619: 618: 616: 615: 601: 193:serum creatinine 170:circle of Willis 158:seminal vesicles 129:genetic disorder 123:, also known as 53: 33: 21: 3335: 3334: 3330: 3329: 3328: 3326: 3325: 3324: 3310:Kidney diseases 3300: 3299: 3298: 3293: 3281: 3245:Other/ungrouped 3240: 3224: 3207:Meckel syndrome 3202:mitotic spindle 3156: 3151: 3121: 3116: 3090: 3043: 3025: 2965:Periapical cyst 2940: 2922: 2881:no epithelium: 2799:Epidermoid cyst 2779: 2751: 2749:Cystic diseases 2746: 2716: 2707: 2698:Urachal fistula 2672: 2652: 2619: 2590: 2562: 2558:Alport syndrome 2507:Meckel syndrome 2483:Potter sequence 2452: 2440: 2410: 2409: 2408: 2390: 2386: 2381: 2376: 2375: 2321: 2320: 2253: 2239: 2234: 2189: 2146: 2103: 2099: 2097:Further reading 2094: 2093: 2083: 2081: 2072: 2071: 2067: 2057: 2055: 2046: 2045: 2041: 2034: 2021: 2020: 2016: 1985:(7): CD010294. 1972: 1971: 1967: 1953: 1952: 1948: 1916: 1915: 1906: 1897: 1895: 1890: 1889: 1885: 1841: 1840: 1836: 1827: 1825: 1816: 1815: 1811: 1767: 1766: 1762: 1718: 1717: 1713: 1669: 1668: 1664: 1654: 1653: 1649: 1605: 1604: 1600: 1563:Cell Metabolism 1556: 1555: 1551: 1507: 1506: 1502: 1477: 1476: 1472: 1463: 1461: 1452: 1451: 1447: 1440: 1425: 1424: 1420: 1374: 1373: 1362: 1316: 1315: 1311: 1281: 1280: 1276: 1245:(11): 697–700. 1232: 1231: 1227: 1189: 1188: 1184: 1140: 1139: 1135: 1091: 1090: 1086: 1050: 1049: 1042: 1004: 1003: 996: 958: 957: 942: 898: 897: 882: 875: 860: 859: 855: 846: 844: 831: 830: 826: 790: 789: 785: 772: 768: 742: 741: 737: 693: 692: 688: 678: 676: 671: 670: 666: 656: 654: 649: 648: 644: 634: 632: 627: 626: 622: 613: 611: 603: 602: 589: 584: 572: 563: 548: 481: 473: 471:Natural history 441: 401: 382: 373:kidney function 350:cation channels 279: 273: 256: 240: 232:transplantation 88:ADPKD and ARPKD 31: 28: 23: 22: 15: 12: 11: 5: 3333: 3331: 3323: 3322: 3317: 3312: 3302: 3301: 3295: 3294: 3286: 3283: 3282: 3280: 3279: 3274: 3269: 3264: 3259: 3254: 3248: 3246: 3242: 3241: 3239: 3238: 3232: 3230: 3226: 3225: 3223: 3222: 3210: 3209: 3197: 3196: 3184: 3183: 3174: 3173: 3164: 3162: 3158: 3157: 3152: 3150: 3149: 3142: 3135: 3127: 3118: 3117: 3115: 3114: 3109: 3104: 3098: 3096: 3092: 3091: 3089: 3088: 3083: 3082: 3081: 3071: 3070: 3069: 3064: 3053: 3051: 3045: 3044: 3042: 3041: 3035: 3033: 3031:Nervous system 3027: 3026: 3024: 3023: 3018: 3013: 3011:Caroli disease 3008: 3001: 3000: 2995: 2990: 2983: 2982: 2977: 2972: 2967: 2962: 2957: 2950: 2948: 2942: 2941: 2939: 2938: 2936:Cystic hygroma 2932: 2930: 2924: 2923: 2921: 2920: 2915: 2909: 2908: 2906:Verrucous cyst 2903: 2898: 2891: 2890: 2885: 2878: 2877: 2872: 2865: 2864: 2859: 2858: 2857: 2846:sebaceous duct 2843: 2842: 2841: 2817: 2816: 2815: 2810: 2805: 2789: 2787: 2781: 2780: 2778: 2777: 2772: 2767: 2761: 2759: 2753: 2752: 2747: 2745: 2744: 2737: 2730: 2722: 2713: 2712: 2709: 2708: 2706: 2705: 2700: 2695: 2689: 2687: 2678: 2674: 2673: 2671: 2670: 2664: 2662: 2658: 2657: 2654: 2653: 2651: 2650: 2645: 2640: 2635: 2629: 2627: 2621: 2620: 2618: 2617: 2611: 2609: 2600: 2596: 2595: 2592: 2591: 2589: 2588: 2583: 2578: 2576:Ectopic ureter 2572: 2570: 2564: 2563: 2561: 2560: 2555: 2553:Dent's disease 2549: 2548: 2543: 2538: 2533: 2528: 2522: 2521: 2520: 2519: 2514: 2509: 2504: 2491: 2490: 2485: 2480: 2475: 2473:Renal agenesis 2469: 2467: 2458: 2454: 2453: 2450:urinary system 2441: 2439: 2438: 2431: 2424: 2416: 2391: 2384: 2383: 2382: 2378: 2377: 2374: 2373: 2362: 2342: 2330: 2329: 2327: 2323: 2322: 2319: 2318: 2307: 2296: 2285: 2270: 2254: 2249: 2248: 2246: 2245:Classification 2238: 2237:External links 2235: 2233: 2232: 2187: 2144: 2116:(4): 701–710. 2100: 2098: 2095: 2092: 2091: 2065: 2039: 2032: 2014: 1965: 1946: 1904: 1883: 1834: 1809: 1760: 1711: 1682:(4): 577–584. 1662: 1647: 1598: 1549: 1500: 1470: 1445: 1438: 1418: 1360: 1309: 1290:(3): 467–472. 1274: 1225: 1198:(2): 129–133. 1192:Human Genetics 1182: 1133: 1084: 1063:(5): 854–864. 1040: 994: 940: 911:(2): 219–226. 880: 873: 853: 824: 803:(4): 297–305. 783: 766: 755:(6): 596–606. 735: 686: 664: 642: 620: 586: 585: 583: 580: 579: 578: 571: 568: 562: 559: 552:kidney failure 547: 544: 536:bacteriostatic 514:kidney failure 497:ketogenic diet 480: 477: 472: 469: 465:blood pressure 440: 437: 433:primary cilium 400: 397: 389:underdeveloped 381: 378: 377: 376: 357: 346: 275:Main article: 272: 269: 255: 252: 239: 236: 108: 107: 104: 100: 99: 96: 90: 89: 86: 82: 81: 80:Abdominal pain 78: 72: 71: 66: 60: 59: 55: 54: 46: 45: 42: 38: 37: 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3332: 3321: 3318: 3316: 3313: 3311: 3308: 3307: 3305: 3292: 3291: 3284: 3278: 3275: 3273: 3270: 3268: 3265: 3263: 3260: 3258: 3255: 3253: 3250: 3249: 3247: 3243: 3237: 3234: 3233: 3231: 3227: 3221: 3217: 3216: 3212: 3211: 3208: 3205: 3203: 3199: 3198: 3195: 3191: 3190: 3186: 3185: 3182: 3179: 3176: 3175: 3172: 3169: 3166: 3165: 3163: 3159: 3155: 3148: 3143: 3141: 3136: 3134: 3129: 3128: 3125: 3113: 3110: 3108: 3105: 3103: 3100: 3099: 3097: 3093: 3087: 3084: 3080: 3077: 3076: 3075: 3072: 3068: 3065: 3063: 3060: 3059: 3058: 3055: 3054: 3052: 3050: 3046: 3040: 3037: 3036: 3034: 3032: 3028: 3022: 3019: 3017: 3014: 3012: 3009: 3007: 3003: 3002: 2999: 2996: 2994: 2991: 2989: 2985: 2984: 2981: 2978: 2976: 2973: 2971: 2968: 2966: 2963: 2961: 2958: 2956: 2953:oral cavity: 2952: 2951: 2949: 2947: 2943: 2937: 2934: 2933: 2931: 2929: 2925: 2919: 2916: 2914: 2911: 2910: 2907: 2904: 2902: 2899: 2897: 2893: 2892: 2889: 2886: 2884: 2880: 2879: 2876: 2873: 2871: 2867: 2866: 2863: 2860: 2856: 2852: 2849: 2848: 2847: 2844: 2840: 2836: 2832: 2828: 2825: 2824: 2823: 2822: 2818: 2814: 2811: 2809: 2806: 2804: 2800: 2797: 2796: 2795: 2791: 2790: 2788: 2786: 2782: 2776: 2773: 2771: 2768: 2766: 2763: 2762: 2760: 2758: 2754: 2750: 2743: 2738: 2736: 2731: 2729: 2724: 2723: 2720: 2704: 2703:Urachal sinus 2701: 2699: 2696: 2694: 2691: 2690: 2688: 2686: 2682: 2679: 2675: 2669: 2666: 2665: 2663: 2659: 2649: 2646: 2644: 2641: 2639: 2636: 2634: 2631: 2630: 2628: 2626: 2622: 2616: 2613: 2612: 2610: 2608: 2604: 2601: 2597: 2587: 2584: 2582: 2579: 2577: 2574: 2573: 2571: 2569: 2565: 2559: 2556: 2554: 2551: 2550: 2547: 2546:Pelvic kidney 2544: 2542: 2539: 2537: 2534: 2532: 2531:Renal ectopia 2529: 2527: 2524: 2523: 2518: 2515: 2513: 2510: 2508: 2505: 2503: 2500: 2499: 2498: 2497: 2493: 2492: 2489: 2486: 2484: 2481: 2479: 2476: 2474: 2471: 2470: 2468: 2466: 2462: 2459: 2455: 2451: 2447: 2444: 2437: 2432: 2430: 2425: 2423: 2418: 2417: 2414: 2406: 2405: 2404: 2398: 2394: 2372: 2368: 2367: 2363: 2361: 2358: 2355: 2352: 2348: 2347: 2343: 2341: 2337: 2336: 2332: 2331: 2328: 2324: 2317: 2313: 2312: 2308: 2306: 2302: 2301: 2297: 2295: 2291: 2290: 2286: 2284: 2280: 2279: 2275: 2271: 2269: 2265: 2264: 2260: 2256: 2255: 2252: 2247: 2243: 2236: 2229: 2225: 2220: 2215: 2210: 2205: 2201: 2197: 2193: 2188: 2184: 2180: 2175: 2170: 2166: 2162: 2158: 2154: 2150: 2145: 2141: 2137: 2132: 2127: 2123: 2119: 2115: 2111: 2107: 2102: 2101: 2096: 2079: 2075: 2069: 2066: 2053: 2049: 2043: 2040: 2035: 2029: 2025: 2018: 2015: 2010: 2006: 2001: 1996: 1992: 1988: 1984: 1980: 1976: 1969: 1966: 1961: 1957: 1950: 1947: 1942: 1938: 1933: 1928: 1924: 1920: 1913: 1911: 1909: 1905: 1893: 1887: 1884: 1879: 1875: 1870: 1865: 1861: 1857: 1853: 1849: 1845: 1838: 1835: 1824: 1820: 1813: 1810: 1805: 1801: 1796: 1791: 1787: 1783: 1779: 1775: 1771: 1764: 1761: 1756: 1752: 1747: 1742: 1738: 1734: 1730: 1726: 1722: 1715: 1712: 1707: 1703: 1698: 1693: 1689: 1685: 1681: 1677: 1673: 1666: 1663: 1658: 1651: 1648: 1643: 1639: 1634: 1629: 1625: 1621: 1617: 1613: 1609: 1602: 1599: 1594: 1590: 1585: 1580: 1576: 1572: 1568: 1564: 1560: 1553: 1550: 1545: 1541: 1536: 1531: 1527: 1523: 1519: 1515: 1511: 1504: 1501: 1496: 1492: 1488: 1484: 1480: 1474: 1471: 1459: 1455: 1449: 1446: 1441: 1439:9780323242875 1435: 1431: 1430: 1422: 1419: 1414: 1410: 1405: 1400: 1395: 1390: 1386: 1382: 1378: 1371: 1369: 1367: 1365: 1361: 1356: 1352: 1348: 1344: 1340: 1336: 1332: 1328: 1324: 1320: 1313: 1310: 1305: 1301: 1297: 1293: 1289: 1285: 1278: 1275: 1270: 1266: 1261: 1256: 1252: 1248: 1244: 1240: 1236: 1229: 1226: 1221: 1217: 1213: 1209: 1205: 1201: 1197: 1193: 1186: 1183: 1178: 1174: 1169: 1164: 1160: 1156: 1152: 1148: 1144: 1137: 1134: 1129: 1125: 1120: 1115: 1111: 1107: 1103: 1099: 1095: 1088: 1085: 1080: 1076: 1071: 1066: 1062: 1058: 1054: 1047: 1045: 1041: 1036: 1032: 1028: 1024: 1020: 1016: 1012: 1008: 1001: 999: 995: 990: 986: 982: 978: 974: 970: 966: 962: 955: 953: 951: 949: 947: 945: 941: 936: 932: 927: 922: 918: 914: 910: 906: 902: 895: 893: 891: 889: 887: 885: 881: 876: 874:9781582557243 870: 866: 865: 857: 854: 843:on 2017-01-04 842: 838: 834: 828: 825: 820: 816: 811: 806: 802: 798: 794: 787: 784: 781: 780: 775: 770: 767: 762: 758: 754: 750: 746: 739: 736: 731: 727: 722: 717: 713: 709: 705: 701: 697: 690: 687: 674: 668: 665: 652: 646: 643: 630: 624: 621: 610: 606: 600: 598: 596: 594: 592: 588: 581: 577: 574: 573: 569: 567: 560: 558: 555: 553: 545: 543: 541: 540:bacteriocidal 537: 533: 528: 526: 522: 517: 515: 511: 507: 503: 498: 494: 485: 478: 476: 470: 468: 466: 463:and elevated 462: 461:heart murmurs 458: 454: 450: 446: 438: 436: 434: 429: 425: 422: 418: 414: 407:PKD1 and PKD2 405: 398: 396: 395:is involved. 394: 390: 386: 379: 374: 370: 366: 362: 358: 355: 351: 347: 344: 343:chromosome 16 340: 339: 338: 336: 332: 328: 325: 321: 317: 315: 311: 307: 299: 291: 283: 278: 270: 268: 266: 262: 253: 251: 249: 245: 237: 235: 233: 229: 225: 221: 217: 213: 209: 204: 202: 198: 194: 190: 186: 180: 178: 174: 171: 167: 163: 159: 155: 151: 147: 141: 138: 134: 133:renal tubules 131:in which the 130: 126: 122: 118: 114: 105: 101: 97: 95: 91: 87: 83: 79: 77: 73: 70: 67: 65: 61: 56: 52: 47: 43: 39: 34: 19: 3287: 3213: 3200: 3187: 3177: 3170: 3167: 3102:Hydatid cyst 3056: 2875:Hidrocystoma 2845: 2819: 2793: 2693:Urachal cyst 2501: 2494: 2401: 2400: 2399:profile for 2396: 2364: 2344: 2333: 2309: 2298: 2287: 2272: 2257: 2199: 2195: 2156: 2152: 2113: 2109: 2082:. Retrieved 2078:the original 2068: 2056:. Retrieved 2052:the original 2042: 2023: 2017: 1982: 1978: 1968: 1959: 1949: 1922: 1896:. Retrieved 1894:. 2022-10-20 1886: 1851: 1847: 1837: 1826:. Retrieved 1822: 1812: 1777: 1773: 1763: 1728: 1724: 1714: 1679: 1675: 1665: 1650: 1615: 1611: 1601: 1566: 1562: 1552: 1517: 1513: 1503: 1486: 1482: 1473: 1462:. Retrieved 1460:. 2016-01-07 1457: 1448: 1428: 1421: 1384: 1380: 1322: 1318: 1312: 1287: 1283: 1277: 1242: 1238: 1228: 1195: 1191: 1185: 1150: 1146: 1136: 1101: 1097: 1087: 1060: 1056: 1010: 1006: 967:(1): 26–56. 964: 960: 908: 904: 863: 856: 845:. Retrieved 841:the original 836: 827: 800: 796: 786: 777: 769: 752: 748: 738: 703: 699: 689: 677:. Retrieved 667: 655:. Retrieved 645: 633:. Retrieved 623: 612:. Retrieved 608: 564: 561:Epidemiology 556: 549: 529: 518: 506:nephrologist 490: 474: 442: 430: 426: 421:polycystin-2 417:polycystin-1 410: 383: 354:chromosome 4 318: 304: 263:(ADPKD) and 257: 241: 205: 181: 148:(ADPKD) and 142: 124: 120: 116: 112: 111: 3004:bile duct: 2918:Breast cyst 2638:Hypospadias 2335:MedlinePlus 2159:: 321–337. 1483:Kidney News 41:Other names 3315:Ciliopathy 3304:Categories 3288:See also: 3215:centrosome 3189:basal body 3161:Structural 2862:Keratocyst 2831:Pilar cyst 2633:Epispadias 2581:Megaureter 2443:Congenital 2366:Patient UK 2311:DiseasesDB 2084:2 November 2058:2 November 1898:2022-10-24 1828:2022-10-24 1464:2022-11-17 847:2015-07-31 614:2015-07-30 582:References 453:ultrasound 369:parenchyma 69:Nephrology 3229:Signaling 3168:receptor: 2677:Vestigial 2457:Abdominal 2346:eMedicine 2202:: 69–83. 1495:1555-905X 1387:: 69–83. 679:3 January 657:3 January 635:3 January 546:Prognosis 493:Tolvaptan 479:Treatment 439:Diagnosis 399:Mechanism 267:(ARPKD). 166:aneurysms 103:Treatment 64:Specialty 2888:Mucocele 2360:radio/69 2357:radio/68 2354:ped/1846 2351:med/1862 2228:21694932 2183:18947299 2140:21079243 2009:26171904 1960:Medscape 1941:70649130 1878:31361604 1804:26764208 1755:26538633 1706:32086281 1642:35664270 1593:31631001 1544:35570988 1413:21694932 1355:28192819 1284:Genomics 1220:22331271 1177:16449663 1128:27259053 1079:16816842 1027:17434405 989:12417947 981:16462154 935:25490692 819:26088074 730:20382325 570:See also 542:drugs". 521:dialysis 361:in utero 314:dialysis 228:dialysis 185:sonogram 162:pancreas 76:Symptoms 2986:liver: 2685:Urachus 2625:Urethra 2607:Bladder 2393:Scholia 2305:D007690 2219:3108786 2174:2834200 2131:2983067 2000:8406618 1869:6763267 1795:4835927 1746:4849816 1697:7133124 1633:9155228 1584:6904245 1535:9091612 1404:3108786 1347:8650545 1327:Bibcode 1319:Science 1304:8307555 1269:1980516 1260:1017261 1212:1676697 1168:1367205 1119:4908191 1035:1700992 926:4409326 761:1767134 721:2898711 445:CT scan 365:nephron 320:Genetic 230:and/or 226:(RRT): 127:) is a 3178:cargo: 2599:Pelvic 2568:Ureter 2496:cystic 2465:Kidney 2395:has a 2340:000502 2294:173900 2226:  2216:  2181:  2171:  2138:  2128:  2030:  2007:  1997:  1939:  1876:  1866:  1823:Medium 1802:  1792:  1753:  1743:  1704:  1694:  1640:  1630:  1591:  1581:  1542:  1532:  1493:  1436:  1411:  1401:  1353:  1345:  1302:  1267:  1257:  1218:  1210:  1175:  1165:  1126:  1116:  1077:  1033:  1025:  1007:Lancet 987:  979:  933:  923:  871:  817:  759:  728:  718:  700:Lancet 333:, and 246:, and 203:exam. 160:, and 2808:Milia 2397:topic 2316:10262 2283:753.1 1937:S2CID 1351:S2CID 1216:S2CID 1031:S2CID 985:S2CID 457:liver 413:cilia 393:PKHD1 324:genes 254:Cause 218:) or 216:ACEIs 195:, or 154:liver 137:cysts 85:Types 2853:and 2837:and 2833:and 2829:and 2801:and 2785:Skin 2661:Both 2300:MeSH 2289:OMIM 2278:9-CM 2224:PMID 2179:PMID 2136:PMID 2086:2014 2060:2014 2028:ISBN 2005:PMID 1983:2015 1874:PMID 1800:PMID 1751:PMID 1702:PMID 1638:PMID 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Index

Polycystic Kidney Disease

Specialty
Nephrology
Symptoms
Diagnostic method
genetic disorder
renal tubules
cysts
autosomal dominant polycystic kidney disease
autosomal recessive polycystic kidney disease
liver
seminal vesicles
pancreas
aneurysms
circle of Willis
cerebral arteries
subarachnoid hemorrhage
sonogram
BUN
serum creatinine
eGFR
CT
renin–angiotensin–aldosterone system
angiotensin converting enzyme inhibitors
ACEIs
angiotensin receptor blockers
renal replacement therapy
dialysis
transplantation

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