학술논문
Clinical features of Autosomal recessive polycystic kidney disease —a single-center experience— / 常染色体劣性多発性嚢胞腎の臨床像
Document Type
Journal Article
Author
Hiroaki Ueda; Hiroko Chikamoto; Hiroshi Fujii; Kimiko Taniguchi; Kiyonobu Ishizuka; Makoto Mizutani; Mamiko Suehiro; Masataka Hisano; Masayuki Furuyama; Motoshi Hattori; Osamu Segawa; Satoshi Teraoka; Shouhei Fuchinoue; Yuko Akioka; Yuko Kajiho; 上田 博章; 世川 修; 久野 正貴; 古山 政幸; 寺岡 慧; 服部 元史; 末廣 真美子; 梶保 祐子; 水谷 誠; 渕之上 昌平; 石塚 喜世伸; 秋岡 祐子; 藤井 寛; 谷口 貴実子; 近本 裕子
Source
日本小児腎臓病学会雑誌 / Japanese journal of pediatric nephrology. 2010, 23(2):123
Subject
Language
Japanese
ISSN
0915-2245
1881-3933
1881-3933
Abstract
Autosomal recessive polycystic kidney disease (ARPKD) is known to be quite variable in its clinical presentation and disease progression pattern. We studied the clinical course and outcome of our 10 ARPKD patients. The median age at last follow-up is 9.9 years. All patients were diagnosed within the 1st year of life. The clinical presentations during their neonatal periods were flank mass (80.0%), respiratory insufficiency (50.0%), and hyponatremia (55.6%). Eight of the patients showed hepatic complications such as hepatic fibrosis (100%), and intrahepatic biliary duct dilatation was seen in six out of the eight (75.0%) patients, whereas none of them had cholangitis. Six patients required renal replacement therapy at a median age of 7.6 years, and the five of them subsequently underwent kidney transplantation. Enlarged organs had to be removed, and severe pancytopenia should be corrected by splenectomy before renal transplantation. In conclusion, clinical treatments for kidney and hepatic complications in ARPKD should be designed appropriately depending on individual patient conditions.