Unexpected ultrasonographic prenatal diagnosis of autosomal dominant polycystic kidney disease |
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Authors: | H Journel C Guyot R M Barc P Belbeoch A Quemener H Jouan |
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Institution: | 1. Unié de Nephrologie Infantile, Departement de Pediatrie, Nantes CHU F44000, France;2. Echographie, Vannes F56000, France;3. Obstetrique, Vannes F56000, France;4. Departement de Pathologie, Rennes CHU F3500, France |
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Abstract: | 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. |
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Keywords: | Autosomal dominant polycystic kidney disease Prenatal diagnosis Kidney |
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