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childhood polycystic kidney disease
Genetics:
- autosomal recessive
Pathology:
1) renal medullary ductal ectasia
2) may be associated with hepatic fibrosis
3) portal hypertension
Clinical manifestations:
1) presents in childhood
2) progressive, severe renal failure at an early age
Complications:
1) adenomas in 5-10%
2) adenocarcinomas in 1.5%
Management:
- treatment of hypertension
a) dietary salt restriction, DASH diet
b) ACE inhibitor or ARB [1]
Interactions
disease interactions
General
genetic disease of the kidney
polycystic kidney disease
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, 15,
American College of Physicians, Philadelphia 1998, 2009
- Harrison's Principles of Internal Medicine, 13th ed.
Isselbacher et al (eds), McGraw-Hill Inc. NY, 1994, pg 1324