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Apparent normalisation of fetal renal size in autosomal dominant polycystic kidney disease (PKD1)
Author(s) -
Jeffery Steve,
SaggarMalik Anand K,
Economides Demetrios L,
Blackmore Sally E,
MacDermot Kay D
Publication year - 1998
Publication title -
clinical genetics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.543
H-Index - 102
eISSN - 1399-0004
pISSN - 0009-9163
DOI - 10.1111/j.1399-0004.1998.tb02701.x
Subject(s) - pkd1 , fetus , polycystic kidney disease , autosomal dominant polycystic kidney disease , kidney , autosomal recessive polycystic kidney disease , medicine , gestation , kidney disease , endocrinology , pathology , biology , pregnancy , genetics
We present a family with adult onset autosomal dominant polycystic kidney disease (ADPKD) in two generations, linked to the PKD1 locus and with paternal transmission to the fetus. The fetus carried the PKD1 haplotype and was, therefore a gene carrier. Progressive hyperechogenic renal enlargement, but no cysts, was documented by serial fetal ultrasounds at 21, 23 and 34 weeks of gestation. Surprisingly, the newborn renal scan showed normal sized kidneys with apparently normal corticomedullary differentiation. However, at 11 months of age, the evolution of cysts in one kidney, and then in the other kidney at 20 months, was documented by ultrasound in the absence of clinical symptoms or signs. The observed normalisation of fetal renal ultrasound appearances at birth has not previously been described in fetuses presenting with PKD1.