2013
DOI: 10.4103/2156-7514.109733
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Autosomal Recessive Polycystic Kidney Disease: Antenatal Diagnosis and Histopathological Correlation

Abstract: Autosomal recessive polycystic kidney disease (ARPKD) is one of the most common inheritable disease manifesting in infancy and childhood with a frequency of 1:6,000 to 1:55,000 births. The patient in her second trimester presented with a history of amenorrhea. Ultrasound examination revealed bilateral, enlarged, hyperechogenic kidneys, placentomegaly, and severe oligohydramnios. The pregnancy was terminated. An autopsy was performed on the fetus. Both the kidneys were found to be enlarged and the cut surface s… Show more

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Cited by 15 publications
(9 citation statements)
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“…The majority of cases present in the neonatal period though the diagnosis may be suspected on prenatal ultrasound. Severely affected foetuses display a Potter-like facies [1] oligohydramnios phenotype with lethal pulmonary hypoplasia and massively enlarged echogenic kidneys, as in the above presented case. About 23%-30% of affected infants die in the neonatal period as a result of respiratory insufficiency or superimposed pulmonary infections.…”
Section: Dear Sirmentioning
confidence: 53%
See 1 more Smart Citation
“…The majority of cases present in the neonatal period though the diagnosis may be suspected on prenatal ultrasound. Severely affected foetuses display a Potter-like facies [1] oligohydramnios phenotype with lethal pulmonary hypoplasia and massively enlarged echogenic kidneys, as in the above presented case. About 23%-30% of affected infants die in the neonatal period as a result of respiratory insufficiency or superimposed pulmonary infections.…”
Section: Dear Sirmentioning
confidence: 53%
“…[1] The causative factor is the mutations in the PKHD1 (chromosomal locus 6p12.2). [2] The disease has a wide clinical variation from stillbirth and neonatal demise to survival into adulthood; the carrier frequency for a PKHD1 mutation is estimated to be about 1:70 in general population.…”
Section: Dear Sirmentioning
confidence: 99%
“…Autosomal recessive polycystic kidney disease occurs at a lower frequency than its genetic counterpart, ADPKD, with incidence being about 1:20,000 live births ( 3 ), with rates ranging from 1:6,000 to 1:55,000 ( 1 , 4 ). Many affected infants may die during the neonatal period secondary to respiratory failure, suggesting that these incidence rates actually may underestimate the true number of individuals with ARPKD.…”
Section: Epidemiology and Early Developmental Course Of Arpkdmentioning
confidence: 99%
“…Although the pathogenesis of NPHP and ARPKD results from mutations in different genetic loci [6,11,12,13], both are monogenic renal cystic disorders, which share common cellular and macroscopic features of cyst development [2,14,15]. The disorders also have common clinical presentation, which include infantile incidence, renal failure, anemia, polyuria without hematuria, proteinuria and hypertension [10,16].…”
Section: Introductionmentioning
confidence: 99%