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Unexpected ultrasonographic prenatal diagnosis of autosomal dominant polycystic kidney disease
Author(s) -
Journel H.,
Guyot C.,
Barc R. M.,
Belbeoch P.,
Quemener A.,
Jouan H.
Publication year - 1989
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.1970090910
Subject(s) - autosomal dominant polycystic kidney disease , prenatal diagnosis , medicine , echogenicity , family history , polycystic kidney disease , disease , fetus , kidney disease , genetic counseling , pathology , obstetrics , ultrasonography , radiology , pregnancy , biology , genetics
The prenatal diagnosis of autosomal dominant polycystic kidney disease (ADPKD) is now being reported with increasing frequency. We report three cases and review 12 cases of ADPKD diagnosed in the fetus by ultrasonographic findings. Increased echogenicity and renal enlargement are the main ultrasonographic signs of ADPKD. Renal cysts are uncommon. Diagnosis is easy in a family with a positive ADPKD history. Conversely, there may be no apparent family history, as in our three cases and three cases from the literature. We consider the problems of unexpected diagnosis, family investigation, and the prognosis of ADPKD in children with prenatally diagnosable forms.