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Polycystic kidney disease

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424:, an immotile, hair-like cellular organelle present on the surface of most cells in the body, anchored in the cell body by the basal body. In the kidney, primary cilia have been found to be present on most cells of the nephron, projecting from the apical surface of the renal epithelium into the tubule lumen. The cilia were believed to bend in the urine flow, leading to changes in signalling, however this has since been shown to be an experimental error (the bending of cilia was an artifact of focal plane compensation, and also the actual effect on micturition by severe hypertension and cardiac arrest) and that bending of cilia does not contribute to alterations in Ca flux. While it is not known how defects in the primary cilium lead to cyst development, it is thought to possibly be related to disruption of one of the many signaling pathways regulated by the primary cilium, including intracellular calcium, Wnt/β-catenin, cyclic adenosine monophosphate (cAMP), or planar cell polarity (PCP). Function of the primary cilium is impaired, resulting in disruption of a number of intracellular signaling cascades which produce differentiation of cystic epithelium, increased cell division, increased apoptosis, and loss of resorptive capacity. 484:) was introduced as the first FDA-approved treatment for PKD. In a recent long-term study, patients using Tolvaptan had a 6.4% higher kidney function after 5 years compared to standard of care. In 2019, a team of researchers at UCSB found that a ketogenic diet might be able to halt, or even reverse progression in mice, and the results of a first human case series study are showing potential benefit. The results of a 3-month randomized, prospective dietary intervention clinical trial are pending. In addition, recent research indicates that mild to moderate calorie restriction or time-restricted feeding slow the progression of 287: 40: 279: 473: 2371: 393: 488:(ADPKD) in mice Patient communities have been combining both ketogenic diets and time-restricted feeding with a low-oxalate diet to prevent the formation of stones and early reports show an average of 17% increase in kidney function after approximately one year on a ketogenic, time-restricted dietary regimen. If and when the disease progresses enough in a given case, the 271: 507:, which can be done at least two different ways at varying frequencies and durations (whether it is done at home or in the clinic depends on the method used and the patient's stability and training) and eventually, if they are eligible because of the nature and severity of their condition and if a suitable match can be found, unilateral or bilateral 416:
The disease is characterized by a ‘second hit’ phenomenon, in which a mutated dominant allele is inherited from a parent, with cyst formation occurring only after the normal, wild-type gene sustains a subsequent second genetic ‘hit’, resulting in renal tubular cyst formation and disease progression.
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proteins appear to be involved in both autosomal dominant and recessive polycystic kidney disease due to defects in both proteins. Both proteins have communication with calcium channel proteins, and causes reduction in resting (intracellular) calcium and endoplasmic reticulum storage of calcium.
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within the kidney. These cysts may begin to develop in utero, in infancy, in childhood, or in adulthood. Cysts are non-functioning tubules filled with fluid pumped into them, which range in size from microscopic to enormous, crushing adjacent normal tubules and eventually rendering them
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PKD is one of the most common hereditary diseases in the United States, affecting more than 600,000 people. It is the cause of nearly 10% of all end-stage renal disease. It equally affects men, women, and all races. PKD occurs in some animals as well as humans.
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PKD is caused by abnormal genes that produce a specific abnormal protein; this protein has an adverse effect on tubule development. PKD is a general term for two types, each having their own pathology and genetic cause:
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PKD is caused by abnormal genes which produce a specific abnormal protein which has an adverse effect on tubule development. PKD is a general term for two types, each having their own pathology and genetic cause:
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Diagnosis may be suspected from one, some, or all of the following: new onset flank pain or red urine; a positive family history; palpation of enlarged kidneys on physical exam; an incidental finding on abdominal
2257: 2242: 376:(ARPKD) (OMIM #263200) is the less common of the two types of PKD, with an incidence of 1:20,000 live births and is typically identified in the first few weeks after birth. Unfortunately, the kidneys are often 816: 757: 2031: 2417: 1266:
Kimberling WJ, Kumar S, Gabow PA, Kenyon JB, Connolly CJ, Somlo S (December 1993). "Autosomal dominant polycystic kidney disease: localization of the second gene to chromosome 4q13-q23".
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Kumar S, Kimberling WJ, Gabow PA, Kenyon JB (June 1991). "Genetic linkage studies of autosomal dominant polycystic kidney disease: search for the second gene in a large Sicilian family".
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Mochizuki T, Wu G, Hayashi T, Xenophontos SL, Veldhuisen B, Saris JJ, et al. (May 1996). "PKD2, a gene for polycystic kidney disease that encodes an integral membrane protein".
3069: 3022: 356:, although fewer than 5% of nephrons are thought to be involved. As the cysts accumulate fluid, they enlarge, separate from the nephron, compress the neighboring kidney 1592:"Ketogenic dietary interventions in autosomal dominant polycystic kidney disease-a retrospective case series study: first insights into feasibility, safety and effects" 2410: 334:
and codes for a protein involved in cell cycle regulation and intracellular calcium transport in epithelial cells and is responsible for 85% of the cases of ADPKD.
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polycystic kidney disease (ADPKD) is the most common of all the inherited cystic kidney diseases with an incidence of 1:500 live births. Studies show that 10% of
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PKD3 recently appeared in research papers as a postulated third gene. Fewer than 10% of cases of ADPKD appear in non-ADPKD families. Cyst formation begins
846: 824: 2403: 2057: 518:, to control infections of the cysts in the kidneys, and if affected, the liver, when needed for a certain duration to combat infection, by using, " 323: 3303: 2035: 634: 514:
A Cochrane Review study of autosomal dominant polycystic kidney disease made note of the fact that it is important at all times, while avoiding
612: 559: 373: 253: 138: 485: 265: 249: 196: 134: 1802: 2723: 656: 200: 341:, with inward selectivity for K>Na>>Ca and outward selectivity for Ca2+ ≈ Ba2+ > Na+ ≈ K+, are coded for by PKD2 on 3260: 3050: 2015: 3128: 3045: 762: 185: 2272: 1078:"Mutations in GANAB, Encoding the Glucosidase IIα Subunit, Cause Autosomal-Dominant Polycystic Kidney and Liver Disease" 1754:"A mild reduction of food intake slows disease progression in an orthologous mouse model of polycystic kidney disease" 1421: 856: 3164: 3057: 2818: 1462: 199:(RAAS), frequent cyst infections, urinary bleeding, and declining renal function. Hypertension is treated with 2395: 2386: 400:
Both autosomal dominant and autosomal recessive polycystic kidney disease cyst formation are tied to abnormal
3255: 3090: 2786: 2748: 2716: 2495: 1656:"Metabolic Reprogramming in Autosomal Dominant Polycystic Kidney Disease: Evidence and Therapeutic Potential" 208: 2061: 223:. Management from the time of the suspected or definitive diagnosis is by an appropriately trained doctor. 2911: 2354: 1875: 943:
Bisceglia M, Galliani CA, Senger C, Stallone C, Sessa A (January 2006). "Renal cystic diseases: a review".
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ADPKD individuals might have a normal life; conversely, ARPKD can cause kidney dysfunction and can lead to
3245: 2976: 2822: 1828:"Crystal deposition triggers tubule dilation that accelerates cystogenesis in polycystic kidney disease" 1219:"Exclusion of autosomal dominant polycystic kidney disease type II (ADPKD2) from 160 cM of chromosome 1" 3250: 3240: 3273: 3177: 2884: 2866: 2796: 2631: 493: 290:
Cartoon of autosomal recessive polycystic kidney disease with normal kidney inset to right of diagram
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Torres JA, Kruger SL, Broderick C, Amarlkhagva T, Agrawal S, Dodam JR, et al. (December 2019).
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Cartoon of autosomal dominant polycystic kidney disease with normal kidney inset to right of diagram
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Porath B, Gainullin VG, Cornec-Le Gall E, Dillinger EK, Heyer CM, Hopp K, et al. (June 2016).
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Gene PKD2 is identified, using genetic linkage study, on chromosome 4. A group of voltage-linked
165: 286: 141:(ARPKD). The abnormal gene exists in all cells in the body; as a result, cysts may occur in the 2963: 2958: 2929: 508: 278: 39: 2323: 1959:"Interventions for preventing the progression of autosomal dominant polycystic kidney disease" 1903:"Interventions for infected cysts in people with autosomal dominant polycystic kidney disease" 588: 2838: 2479: 2471: 989:
Torres VE, Harris PC, Pirson Y (April 2007). "Autosomal dominant polycystic kidney disease".
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by the age of 40–60. ADPKD1 and ADPKD2 are very different, in that ADPKD2 is much milder.
211:(ARBs). Infections are treated with antibiotics. Declining renal function is treated with 8: 3298: 3114: 3004: 2989: 2426: 2261: 2148: 1641:"Ketogenic Dietary Interventions in Autosomal Dominant Polycystic Kidney Disease (ADPKD)" 1590:
Strubl S, Oehm S, Torres JA, Grundmann F, Haratani J, Decker M, et al. (June 2022).
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Zhou X, Davenport E, Ouyang J, Hoke ME, Garbinsky D, Agarwal I, et al. (May 2022).
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Currently, there are no therapies proven effective to prevent the progression of ADPKD.
239:. Other symptoms include pain in the back, and cyst formation (renal and other organs). 3095: 2740: 2202: 2175: 2157: 2132: 2114: 2089: 1983: 1958: 1920: 1852: 1827: 1778: 1753: 1729: 1704: 1680: 1655: 1616: 1591: 1567: 1542: 1518: 1493: 1387: 1360: 1334: 1243: 1218: 1199: 1151: 1126: 1125:
Thivierge C, Kurbegovic A, Couillard M, Guillaume R, Coté O, Trudel M (February 2006).
1102: 1077: 1014: 968: 956: 909: 884: 704: 679: 64: 2266: 1279: 1002: 695: 2999: 2938: 2810: 2804: 2598: 2569: 2536: 2294: 2207: 2162: 2119: 2011: 1988: 1857: 1783: 1734: 1685: 1621: 1572: 1523: 1474: 1417: 1392: 1326: 1283: 1248: 1191: 1156: 1107: 1058: 1006: 960: 914: 852: 798: 740: 709: 161: 82: 52: 1924: 1338: 1203: 1142: 972: 3219: 3203: 3062: 2981: 2953: 2943: 2519: 2509: 2461: 2429: 2334: 2197: 2187: 2176:"Polycystic kidney disease: inheritance, pathophysiology, prognosis, and treatment" 2152: 2144: 2109: 2101: 1978: 1974: 1970: 1910: 1847: 1839: 1826:
Torres JA, Rezaei M, Broderick C, Lin L, Wang X, Hoppe B, et al. (July 2019).
1773: 1765: 1724: 1716: 1675: 1667: 1611: 1603: 1562: 1554: 1513: 1505: 1382: 1372: 1361:"Polycystic kidney disease: inheritance, pathophysiology, prognosis, and treatment" 1318: 1275: 1238: 1230: 1183: 1146: 1138: 1097: 1089: 1048: 1018: 998: 952: 904: 896: 788: 699: 691: 181: 158: 146: 117: 1640: 1322: 124:
become structurally abnormal, resulting in the development and growth of multiple
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Bolignano D, Palmer SC, Ruospo M, Zoccali C, Craig JC, Strippoli GF (July 2015).
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Warner G, Hein KZ, Nin V, Edwards M, Chini CC, Hopp K, et al. (May 2016).
1558: 1509: 1494:"Pooled Data Analysis of the Long-Term Treatment Effects of Tolvaptan in ADPKD" 1093: 793: 776: 535: 519: 497: 453: 421: 338: 1915: 1902: 3287: 2529: 2514: 1940:"Polycystic Kidney Disease: Practice Essentials, Background, Pathophysiology" 1478: 523: 449: 331: 173: 2251: 1217:
Kumar S, Kimberling WJ, Gabow PA, Shugart YY, Pieke-Dahl S (November 1990).
728: 176:; or an incidental finding of abnormal kidney function on routine lab work ( 3085: 2858: 2676: 2211: 2166: 2123: 1992: 1861: 1787: 1738: 1720: 1705:"Food Restriction Ameliorates the Development of Polycystic Kidney Disease" 1689: 1625: 1576: 1527: 1396: 1160: 1111: 1062: 1010: 964: 918: 802: 713: 489: 409: 405: 342: 302: 231:
Signs and symptoms include high blood pressure, headaches, abdominal pain,
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or other practitioner and the patient will have to decide what form of
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in Europe and the U.S. were initially diagnosed and treated for ADPKD.
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Severely affected polycystic kidneys removed at time of transplantation
1843: 1075: 2329: 1124: 481: 232: 3106: 1543:"Ketosis Ameliorates Renal Cyst Growth in Polycystic Kidney Disease" 2871: 308: 236: 154: 150: 2701: 2032:"Polycystic kidney disease (PKD): Gene test and negative register" 2668: 2608: 433: 353: 189: 2277: 1540: 848:
Essentials of Pathophysiology: Concepts of Altered Health States
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Complications include hypertension due to the activation of the
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International Journal of Nephrology and Renovascular Disease
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Montero N, Sans L, Webster AC, Pascual J (29 January 2014).
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International Journal of Nephrology and Renovascular Disease
1037:"Polycystic kidney disease: cell division without a c(l)ue?" 274:
CT scan showing autosomal dominant polycystic kidney disease
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Kipp KR, Rezaei M, Lin L, Dewey EC, Weimbs T (April 2016).
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of the same area. A physical exam/test can reveal enlarged
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Comprehensive Clinical Nephrology: Expert Consult - Online
1265: 1173: 1900: 1589: 1127:"Overexpression of PKD1 causes polycystic kidney disease" 726: 437: 177: 1825: 885:"MicroRNAs in the pathogenesis of cystic kidney disease" 380:, resulting in a 30% death rate in newborns with ARPKD. 270: 1803:"6 Ways People with PKD Can Lower Their Blood Pressure" 1491: 727:
Kimberling WJ, Pieke-Dahl SA, Kumar S (November 1991).
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Most cases progress to bilateral disease in adulthood.
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Clinical Journal of the American Society of Nephrology
1358: 2058:"PKD - Polycystic Kidney Disease - British Shorthair" 2010:. Philadelphia, PA: F.A. Davis Company. p. 443. 1938:
Torra R (2018-07-20). Talavera F, Aronoff GR (eds.).
1876:"Breakthrough Results After 7 Years of Reversing Pkd" 1409: 500:, typically stage 4 or 5 of chronic kidney disease). 2224: 1702: 774: 432:Polycystic kidney disease can be ascertained via a 1751: 1359:Halvorson CR, Bremmer MS, Jacobs SC (2010-06-24). 988: 1354: 1352: 1350: 1348: 153:. This genetic defect can also cause aortic root 3285: 1758:American Journal of Physiology. Renal Physiology 938: 936: 934: 932: 930: 928: 496:will be used to treat end-stage kidney disease ( 2090:"The cell biology of polycystic kidney disease" 1896: 1894: 1892: 1410:Johnson RJ, Feehally J, Floege J (2014-09-05). 729:"The genetics of cystic diseases of the kidney" 635:"Autosomal Recessive Polycystic Kidney Disease" 1345: 613:"Autosomal Dominant Polycystic Kidney Disease" 3122: 2717: 2411: 1709:Journal of the American Society of Nephrology 1030: 1028: 984: 982: 925: 878: 876: 874: 872: 870: 868: 560:Autosomal recessive polycystic kidney disease 374:Autosomal recessive polycystic kidney disease 254:autosomal recessive polycystic kidney disease 188:). Definitive diagnosis is made by abdominal 139:autosomal recessive polycystic kidney disease 2174:Halvorson CR, Bremmer MS, Jacobs SC (2010). 2130: 2087: 1950: 1889: 486:autosomal dominant polycystic kidney disease 266:Autosomal dominant polycystic kidney disease 250:autosomal dominant polycystic kidney disease 135:autosomal dominant polycystic kidney disease 1963:The Cochrane Database of Systematic Reviews 677: 3129: 3115: 2724: 2710: 2418: 2404: 1034: 1025: 979: 865: 38: 2201: 2191: 2156: 2113: 2008:Fifth Edition: Diseases of the Human Body 1982: 1914: 1851: 1777: 1728: 1679: 1653: 1615: 1566: 1517: 1386: 1376: 1242: 1150: 1101: 1052: 908: 792: 775:Cramer MT, Guay-Woodford LM (July 2015). 703: 326:have similar phenotypical presentations. 2034:. International Cat Care. Archived from 471: 391: 285: 277: 269: 201:angiotensin converting enzyme inhibitors 95:Antihypertensives, Life style management 2005: 1907:Cochrane Database of Systematic Reviews 1800: 3304:Congenital disorders of urinary system 3286: 2667: 2589: 2088:Chapin HC, Caplan MJ (November 2010). 1638: 882: 583: 581: 579: 577: 575: 368: 3261:Autosomal recessive polycystic kidney 3136: 3110: 3051:Autosomal recessive polycystic kidney 2705: 2399: 1937: 1832:The Journal of Clinical Investigation 851:. Lippincott Williams & Wilkins. 844: 259: 226: 164:, which if they rupture, can cause a 16:Congenital disorder of urinary system 3046:Autosomal dominant polycystic kidney 2149:10.1146/annurev.med.60.101707.125712 657:"What Is Polycystic Kidney Disease?" 197:renin–angiotensin–aldosterone system 2731: 2131:Harris PC, Torres VE (2009-01-01). 1035:Simons M, Walz G (September 2006). 572: 301:(ESKD) patients being treated with 13: 2080: 1463:"FDA Approves Tolvaptan for ADPKD" 1082:American Journal of Human Genetics 957:10.1097/01.pap.0000201831.77472.d3 781:Advances in Chronic Kidney Disease 459: 14: 3315: 2220: 777:"Cystic kidney disease: a primer" 503:That will either be some form of 476:Chr 11 FISH-mapped BACs from CGAP 2369: 593:MedlinePlus Medical Encyclopedia 420:PKD results from defects in the 3165:Asphyxiating thoracic dysplasia 3058:Medullary cystic kidney disease 2819:Proliferating trichilemmal cyst 2050: 2024: 1999: 1931: 1868: 1819: 1794: 1745: 1696: 1654:Nowak KL, Hopp K (April 2020). 1647: 1632: 1583: 1534: 1485: 1455: 1430: 1403: 1294: 1259: 1210: 1167: 1143:10.1128/MCB.26.4.1538-1548.2006 1118: 1069: 838: 544: 360:, and progressively compromise 2430:malformations and deformations 1975:10.1002/14651858.CD010294.pub2 1131:Molecular and Cellular Biology 945:Advances in Anatomic Pathology 809: 768: 751: 720: 671: 649: 627: 605: 311:mutations in any of the three 1: 2787:Proliferating epidermoid cyst 2749:Langerhans cell histiocytosis 2496:Multicystic dysplastic kidney 1323:10.1126/science.272.5266.1339 1280:10.1016/S0888-7543(11)80001-7 1003:10.1016/S0140-6736(07)60601-1 889:Current Opinion in Pediatrics 696:10.1016/S0140-6736(10)60236-X 565: 209:angiotensin receptor blockers 2912:Human musculoskeletal system 1498:Kidney International Reports 1416:. 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Archived from 1559:10.1016/j.cmet.2019.09.012 1510:10.1016/j.ekir.2022.02.009 1442:National Kidney Foundation 1094:10.1016/j.ajhg.2016.05.004 794:10.1053/j.ackd.2015.04.001 436:of abdomen, as well as an 263: 114:polycystic kidney syndrome 3269: 3256:McKusick–Kaufman syndrome 3228: 3212: 3155:Polycystic kidney disease 3144: 3091:Von Hippel–Lindau disease 3078: 3041:Polycystic kidney disease 3031: 3013: 2928: 2910: 2885:Keratin implantation cyst 2867:Pseudocyst of the auricle 2797:Eruptive vellus hair cyst 2767: 2739: 2660: 2644: 2632:Penoscrotal transposition 2627:Posterior urethral valves 2607: 2582: 2550: 2486:Polycystic kidney disease 2447: 2440: 2387:Polycystic kidney disease 2355:Polycystic kidney disease 2309: 2228: 2137:Annual Review of Medicine 1916:10.1002/14651858.cd010946 680:"Genetic kidney diseases" 494:renal replacement therapy 404:-mediated signaling. The 352:from any point along the 213:renal replacement therapy 102:Polycystic kidney disease 91: 81: 73: 63: 51: 46: 37: 29: 25:Polycystic kidney disease 24: 2972:Polycystic liver disease 2897:Adenoid cystic carcinoma 2852:nonstratified squamous: 2754:Lymphangioleiomyomatosis 1801:Spencer S (2021-12-25). 1643:. University of Cologne. 330:Gene PKD1 is located on 299:end-stage kidney disease 242: 129:non-functional as well. 87:MRI, CT scan, Ultrasound 2880:Cutaneous columnar cyst 2854:Cutaneous ciliated cyst 2835:Steatocystoma multiplex 2778:follicular infundibulum 2501:Medullary sponge kidney 1639:Müller R (2022-08-23). 1596:Clinical Kidney Journal 166:subarachnoid hemorrhage 157:, and aneurysms in the 2964:Nasopalatine duct cyst 2959:Odontogenic keratocyst 2930:Human digestive system 1721:10.1681/ASN.2015020132 845:Porth C (2011-01-01). 733:Seminars in Nephrology 509:kidney transplantation 477: 397: 291: 283: 275: 3246:Senior–Løken syndrome 3178:Bardet–Biedl syndrome 2878:other and ungrouped: 2839:Steatocystoma simplex 2776:stratified squamous: 2759:Cystic bronchiectasis 2472:Papillorenal syndrome 2106:10.1083/jcb.201006173 1235:10.1136/jmg.27.11.697 1054:10.1038/sj.ki.5001534 516:antibiotic resistance 475: 395: 289: 281: 273: 3033:Genitourinary system 2652:Prune belly syndrome 2525:Supernumerary kidney 1672:10.2215/CJN.13291019 1041:Kidney International 3005:Bile duct hamartoma 2193:10.2147/IJNRD.S6939 2038:on 17 November 2016 1608:10.1093/ckj/sfab162 1553:(6): 1007–1023.e5. 1378:10.2147/ijnrd.s6939 1315:1996Sci...272.1339M 1309:(5266): 1339–1342. 997:(9569): 1287–1301. 690:(9722): 1287–1295. 480:In 2018, Jynarque ( 369:Autosomal recessive 237:excessive urination 33:Kidney - polycystic 3096:Tuberous sclerosis 2990:Biliary hamartomas 2741:Respiratory system 2310:External resources 2006:Tamparo C (2011). 1188:10.1007/BF00204167 478: 398: 295:Autosomal dominant 292: 284: 276: 260:Autosomal dominant 233:blood in the urine 227:Signs and symptoms 3281: 3280: 3138:Diseases of cilia 3104: 3103: 3000:Choledochal cysts 2939:Cysts of the jaws 2811:Trichilemmal cyst 2805:outer root sheath 2699: 2698: 2695: 2694: 2640: 2639: 2599:Bladder exstrophy 2578: 2577: 2570:Duplicated ureter 2364: 2363: 2064:on 17 August 2018 2017:978-0-8036-2505-1 1844:10.1172/JCI128503 1838:(10): 4506–4522. 1473:(6). 2018-06-01. 821:www.niddk.nih.gov 162:cerebral arteries 99: 98: 83:Diagnostic method 19:Medical condition 3311: 3274:ciliary proteins 3236:Alström syndrome 3220:Nephronophthisis 3204:Joubert syndrome 3131: 3124: 3117: 3108: 3107: 3079:Other conditions 3063:Nephronophthisis 2982:Peliosis hepatis 2954:Dentigerous cyst 2944:Odontogenic cyst 2726: 2719: 2712: 2703: 2702: 2665: 2664: 2587: 2586: 2520:Nephronophthisis 2510:Horseshoe kidney 2462:Renal hypoplasia 2445: 2444: 2420: 2413: 2406: 2397: 2396: 2373: 2372: 2226: 2225: 2215: 2205: 2195: 2170: 2160: 2127: 2117: 2074: 2073: 2071: 2069: 2054: 2048: 2047: 2045: 2043: 2028: 2022: 2021: 2003: 1997: 1996: 1986: 1954: 1948: 1947: 1935: 1929: 1928: 1918: 1898: 1887: 1886: 1884: 1883: 1872: 1866: 1865: 1855: 1823: 1817: 1816: 1814: 1813: 1798: 1792: 1791: 1781: 1764:(8): F726–F731. 1749: 1743: 1742: 1732: 1715:(5): 1437–1447. 1700: 1694: 1693: 1683: 1651: 1645: 1644: 1636: 1630: 1629: 1619: 1602:(6): 1079–1092. 1587: 1581: 1580: 1570: 1538: 1532: 1531: 1521: 1504:(5): 1037–1048. 1489: 1483: 1482: 1459: 1453: 1452: 1450: 1449: 1434: 1428: 1427: 1407: 1401: 1400: 1390: 1380: 1356: 1343: 1342: 1298: 1292: 1291: 1263: 1257: 1256: 1246: 1214: 1208: 1207: 1171: 1165: 1164: 1154: 1137:(4): 1538–1548. 1122: 1116: 1115: 1105: 1088:(6): 1193–1207. 1073: 1067: 1066: 1056: 1032: 1023: 1022: 986: 977: 976: 940: 923: 922: 912: 880: 863: 862: 842: 836: 835: 833: 832: 823:. Archived from 813: 807: 806: 796: 772: 766: 755: 749: 748: 724: 718: 717: 707: 675: 669: 668: 666: 664: 653: 647: 646: 644: 642: 631: 625: 624: 622: 620: 609: 603: 602: 600: 599: 585: 182:serum creatinine 159:circle of Willis 147:seminal vesicles 118:genetic disorder 112:, also known as 42: 22: 21: 3319: 3318: 3314: 3313: 3312: 3310: 3309: 3308: 3294:Kidney diseases 3284: 3283: 3282: 3277: 3265: 3229:Other/ungrouped 3224: 3208: 3191:Meckel syndrome 3186:mitotic spindle 3140: 3135: 3105: 3100: 3074: 3027: 3009: 2949:Periapical cyst 2924: 2906: 2865:no epithelium: 2783:Epidermoid cyst 2763: 2735: 2733:Cystic diseases 2730: 2700: 2691: 2682:Urachal fistula 2656: 2636: 2603: 2574: 2546: 2542:Alport syndrome 2491:Meckel syndrome 2467:Potter sequence 2436: 2424: 2394: 2393: 2392: 2374: 2370: 2365: 2360: 2359: 2305: 2304: 2237: 2223: 2218: 2083: 2081:Further reading 2078: 2077: 2067: 2065: 2056: 2055: 2051: 2041: 2039: 2030: 2029: 2025: 2018: 2004: 2000: 1969:(7): CD010294. 1955: 1951: 1936: 1932: 1899: 1890: 1881: 1879: 1874: 1873: 1869: 1824: 1820: 1811: 1809: 1799: 1795: 1750: 1746: 1701: 1697: 1652: 1648: 1637: 1633: 1588: 1584: 1547:Cell Metabolism 1539: 1535: 1490: 1486: 1461: 1460: 1456: 1447: 1445: 1436: 1435: 1431: 1424: 1408: 1404: 1357: 1346: 1299: 1295: 1264: 1260: 1229:(11): 697–700. 1215: 1211: 1172: 1168: 1123: 1119: 1074: 1070: 1033: 1026: 987: 980: 941: 926: 881: 866: 859: 843: 839: 830: 828: 815: 814: 810: 773: 769: 756: 752: 725: 721: 676: 672: 662: 660: 655: 654: 650: 640: 638: 633: 632: 628: 618: 616: 611: 610: 606: 597: 595: 587: 586: 573: 568: 556: 547: 532: 470: 462: 460:Natural history 430: 390: 371: 362:kidney function 339:cation channels 268: 262: 245: 229: 221:transplantation 77:ADPKD and ARPKD 20: 17: 12: 11: 5: 3317: 3307: 3306: 3301: 3296: 3279: 3278: 3270: 3267: 3266: 3264: 3263: 3258: 3253: 3248: 3243: 3238: 3232: 3230: 3226: 3225: 3223: 3222: 3216: 3214: 3210: 3209: 3207: 3206: 3194: 3193: 3181: 3180: 3168: 3167: 3158: 3157: 3148: 3146: 3142: 3141: 3134: 3133: 3126: 3119: 3111: 3102: 3101: 3099: 3098: 3093: 3088: 3082: 3080: 3076: 3075: 3073: 3072: 3067: 3066: 3065: 3055: 3054: 3053: 3048: 3037: 3035: 3029: 3028: 3026: 3025: 3019: 3017: 3015:Nervous system 3011: 3010: 3008: 3007: 3002: 2997: 2995:Caroli disease 2992: 2985: 2984: 2979: 2974: 2967: 2966: 2961: 2956: 2951: 2946: 2941: 2934: 2932: 2926: 2925: 2923: 2922: 2920:Cystic hygroma 2916: 2914: 2908: 2907: 2905: 2904: 2899: 2893: 2892: 2890:Verrucous cyst 2887: 2882: 2875: 2874: 2869: 2862: 2861: 2856: 2849: 2848: 2843: 2842: 2841: 2830:sebaceous duct 2827: 2826: 2825: 2801: 2800: 2799: 2794: 2789: 2773: 2771: 2765: 2764: 2762: 2761: 2756: 2751: 2745: 2743: 2737: 2736: 2729: 2728: 2721: 2714: 2706: 2697: 2696: 2693: 2692: 2690: 2689: 2684: 2679: 2673: 2671: 2662: 2658: 2657: 2655: 2654: 2648: 2646: 2642: 2641: 2638: 2637: 2635: 2634: 2629: 2624: 2619: 2613: 2611: 2605: 2604: 2602: 2601: 2595: 2593: 2584: 2580: 2579: 2576: 2575: 2573: 2572: 2567: 2562: 2560:Ectopic ureter 2556: 2554: 2548: 2547: 2545: 2544: 2539: 2537:Dent's disease 2533: 2532: 2527: 2522: 2517: 2512: 2506: 2505: 2504: 2503: 2498: 2493: 2488: 2475: 2474: 2469: 2464: 2459: 2457:Renal agenesis 2453: 2451: 2442: 2438: 2437: 2434:urinary system 2423: 2422: 2415: 2408: 2400: 2375: 2368: 2367: 2366: 2362: 2361: 2358: 2357: 2346: 2326: 2314: 2313: 2311: 2307: 2306: 2303: 2302: 2291: 2280: 2269: 2254: 2238: 2233: 2232: 2230: 2229:Classification 2222: 2221:External links 2219: 2217: 2216: 2171: 2128: 2100:(4): 701–710. 2084: 2082: 2079: 2076: 2075: 2049: 2023: 2016: 1998: 1949: 1930: 1888: 1867: 1818: 1793: 1744: 1695: 1666:(4): 577–584. 1646: 1631: 1582: 1533: 1484: 1454: 1429: 1422: 1402: 1344: 1293: 1274:(3): 467–472. 1258: 1209: 1182:(2): 129–133. 1176:Human Genetics 1166: 1117: 1068: 1047:(5): 854–864. 1024: 978: 924: 895:(2): 219–226. 864: 857: 837: 808: 787:(4): 297–305. 767: 750: 739:(6): 596–606. 719: 670: 648: 626: 604: 570: 569: 567: 564: 563: 562: 555: 552: 546: 543: 536:kidney failure 531: 528: 520:bacteriostatic 498:kidney failure 469: 466: 461: 458: 454:blood pressure 429: 426: 422:primary cilium 389: 386: 378:underdeveloped 370: 367: 366: 365: 346: 335: 264:Main article: 261: 258: 244: 241: 228: 225: 97: 96: 93: 89: 88: 85: 79: 78: 75: 71: 70: 69:Abdominal pain 67: 61: 60: 55: 49: 48: 44: 43: 35: 34: 31: 27: 26: 18: 15: 9: 6: 4: 3: 2: 3316: 3305: 3302: 3300: 3297: 3295: 3292: 3291: 3289: 3276: 3275: 3268: 3262: 3259: 3257: 3254: 3252: 3249: 3247: 3244: 3242: 3239: 3237: 3234: 3233: 3231: 3227: 3221: 3218: 3217: 3215: 3211: 3205: 3201: 3200: 3196: 3195: 3192: 3189: 3187: 3183: 3182: 3179: 3175: 3174: 3170: 3169: 3166: 3163: 3160: 3159: 3156: 3153: 3150: 3149: 3147: 3143: 3139: 3132: 3127: 3125: 3120: 3118: 3113: 3112: 3109: 3097: 3094: 3092: 3089: 3087: 3084: 3083: 3081: 3077: 3071: 3068: 3064: 3061: 3060: 3059: 3056: 3052: 3049: 3047: 3044: 3043: 3042: 3039: 3038: 3036: 3034: 3030: 3024: 3021: 3020: 3018: 3016: 3012: 3006: 3003: 3001: 2998: 2996: 2993: 2991: 2987: 2986: 2983: 2980: 2978: 2975: 2973: 2969: 2968: 2965: 2962: 2960: 2957: 2955: 2952: 2950: 2947: 2945: 2942: 2940: 2937:oral cavity: 2936: 2935: 2933: 2931: 2927: 2921: 2918: 2917: 2915: 2913: 2909: 2903: 2900: 2898: 2895: 2894: 2891: 2888: 2886: 2883: 2881: 2877: 2876: 2873: 2870: 2868: 2864: 2863: 2860: 2857: 2855: 2851: 2850: 2847: 2844: 2840: 2836: 2833: 2832: 2831: 2828: 2824: 2820: 2816: 2812: 2809: 2808: 2807: 2806: 2802: 2798: 2795: 2793: 2790: 2788: 2784: 2781: 2780: 2779: 2775: 2774: 2772: 2770: 2766: 2760: 2757: 2755: 2752: 2750: 2747: 2746: 2744: 2742: 2738: 2734: 2727: 2722: 2720: 2715: 2713: 2708: 2707: 2704: 2688: 2687:Urachal sinus 2685: 2683: 2680: 2678: 2675: 2674: 2672: 2670: 2666: 2663: 2659: 2653: 2650: 2649: 2647: 2643: 2633: 2630: 2628: 2625: 2623: 2620: 2618: 2615: 2614: 2612: 2610: 2606: 2600: 2597: 2596: 2594: 2592: 2588: 2585: 2581: 2571: 2568: 2566: 2563: 2561: 2558: 2557: 2555: 2553: 2549: 2543: 2540: 2538: 2535: 2534: 2531: 2530:Pelvic kidney 2528: 2526: 2523: 2521: 2518: 2516: 2515:Renal ectopia 2513: 2511: 2508: 2507: 2502: 2499: 2497: 2494: 2492: 2489: 2487: 2484: 2483: 2482: 2481: 2477: 2476: 2473: 2470: 2468: 2465: 2463: 2460: 2458: 2455: 2454: 2452: 2450: 2446: 2443: 2439: 2435: 2431: 2428: 2421: 2416: 2414: 2409: 2407: 2402: 2401: 2398: 2390: 2389: 2388: 2382: 2378: 2356: 2352: 2351: 2347: 2345: 2342: 2339: 2336: 2332: 2331: 2327: 2325: 2321: 2320: 2316: 2315: 2312: 2308: 2301: 2297: 2296: 2292: 2290: 2286: 2285: 2281: 2279: 2275: 2274: 2270: 2268: 2264: 2263: 2259: 2255: 2253: 2249: 2248: 2244: 2240: 2239: 2236: 2231: 2227: 2213: 2209: 2204: 2199: 2194: 2189: 2185: 2181: 2177: 2172: 2168: 2164: 2159: 2154: 2150: 2146: 2142: 2138: 2134: 2129: 2125: 2121: 2116: 2111: 2107: 2103: 2099: 2095: 2091: 2086: 2085: 2063: 2059: 2053: 2037: 2033: 2027: 2019: 2013: 2009: 2002: 1994: 1990: 1985: 1980: 1976: 1972: 1968: 1964: 1960: 1953: 1945: 1941: 1934: 1926: 1922: 1917: 1912: 1908: 1904: 1897: 1895: 1893: 1877: 1871: 1863: 1859: 1854: 1849: 1845: 1841: 1837: 1833: 1829: 1822: 1808: 1804: 1797: 1789: 1785: 1780: 1775: 1771: 1767: 1763: 1759: 1755: 1748: 1740: 1736: 1731: 1726: 1722: 1718: 1714: 1710: 1706: 1699: 1691: 1687: 1682: 1677: 1673: 1669: 1665: 1661: 1657: 1650: 1642: 1635: 1627: 1623: 1618: 1613: 1609: 1605: 1601: 1597: 1593: 1586: 1578: 1574: 1569: 1564: 1560: 1556: 1552: 1548: 1544: 1537: 1529: 1525: 1520: 1515: 1511: 1507: 1503: 1499: 1495: 1488: 1480: 1476: 1472: 1468: 1464: 1458: 1443: 1439: 1433: 1425: 1423:9780323242875 1419: 1415: 1414: 1406: 1398: 1394: 1389: 1384: 1379: 1374: 1370: 1366: 1362: 1355: 1353: 1351: 1349: 1340: 1336: 1332: 1328: 1324: 1320: 1316: 1312: 1308: 1304: 1297: 1289: 1285: 1281: 1277: 1273: 1269: 1262: 1254: 1250: 1245: 1240: 1236: 1232: 1228: 1224: 1220: 1213: 1205: 1201: 1197: 1193: 1189: 1185: 1181: 1177: 1170: 1162: 1158: 1153: 1148: 1144: 1140: 1136: 1132: 1128: 1121: 1113: 1109: 1104: 1099: 1095: 1091: 1087: 1083: 1079: 1072: 1064: 1060: 1055: 1050: 1046: 1042: 1038: 1031: 1029: 1020: 1016: 1012: 1008: 1004: 1000: 996: 992: 985: 983: 974: 970: 966: 962: 958: 954: 950: 946: 939: 937: 935: 933: 931: 929: 920: 916: 911: 906: 902: 898: 894: 890: 886: 879: 877: 875: 873: 871: 869: 860: 858:9781582557243 854: 850: 849: 841: 827:on 2017-01-04 826: 822: 818: 812: 804: 800: 795: 790: 786: 782: 778: 771: 765: 764: 759: 754: 746: 742: 738: 734: 730: 723: 715: 711: 706: 701: 697: 693: 689: 685: 681: 674: 658: 652: 636: 630: 614: 608: 594: 590: 584: 582: 580: 578: 576: 571: 561: 558: 557: 551: 542: 539: 537: 527: 525: 524:bacteriocidal 521: 517: 512: 510: 506: 501: 499: 495: 491: 487: 483: 474: 465: 457: 455: 452:and elevated 451: 450:heart murmurs 447: 443: 439: 435: 425: 423: 418: 414: 411: 407: 403: 396:PKD1 and PKD2 394: 385: 384:is involved. 383: 379: 375: 363: 359: 355: 351: 347: 344: 340: 336: 333: 332:chromosome 16 329: 328: 327: 325: 321: 317: 314: 310: 306: 304: 300: 296: 288: 280: 272: 267: 257: 255: 251: 240: 238: 234: 224: 222: 218: 214: 210: 206: 202: 198: 193: 191: 187: 183: 179: 175: 169: 167: 163: 160: 156: 152: 148: 144: 140: 136: 130: 127: 123: 122:renal tubules 120:in which the 119: 115: 111: 107: 103: 94: 90: 86: 84: 80: 76: 72: 68: 66: 62: 59: 56: 54: 50: 45: 41: 36: 32: 28: 23: 3271: 3197: 3184: 3171: 3161: 3154: 3151: 3086:Hydatid cyst 3040: 2859:Hidrocystoma 2829: 2803: 2777: 2677:Urachal cyst 2485: 2478: 2385: 2384: 2383:profile for 2380: 2348: 2328: 2317: 2293: 2282: 2271: 2256: 2241: 2183: 2179: 2140: 2136: 2097: 2093: 2066:. Retrieved 2062:the original 2052: 2040:. Retrieved 2036:the original 2026: 2007: 2001: 1966: 1962: 1952: 1943: 1933: 1906: 1880:. Retrieved 1878:. 2022-10-20 1870: 1835: 1831: 1821: 1810:. Retrieved 1806: 1796: 1761: 1757: 1747: 1712: 1708: 1698: 1663: 1659: 1649: 1634: 1599: 1595: 1585: 1550: 1546: 1536: 1501: 1497: 1487: 1470: 1466: 1457: 1446:. Retrieved 1444:. 2016-01-07 1441: 1432: 1412: 1405: 1368: 1364: 1306: 1302: 1296: 1271: 1267: 1261: 1226: 1222: 1212: 1179: 1175: 1169: 1134: 1130: 1120: 1085: 1081: 1071: 1044: 1040: 994: 990: 951:(1): 26–56. 948: 944: 892: 888: 847: 840: 829:. Retrieved 825:the original 820: 811: 784: 780: 770: 761: 753: 736: 732: 722: 687: 683: 673: 661:. Retrieved 651: 639:. Retrieved 629: 617:. Retrieved 607: 596:. Retrieved 592: 548: 545:Epidemiology 540: 533: 513: 502: 490:nephrologist 479: 463: 431: 419: 415: 410:polycystin-2 406:polycystin-1 399: 372: 343:chromosome 4 307: 293: 252:(ADPKD) and 246: 230: 194: 170: 137:(ADPKD) and 131: 113: 109: 105: 101: 100: 2988:bile duct: 2902:Breast cyst 2622:Hypospadias 2319:MedlinePlus 2143:: 321–337. 1467:Kidney News 30:Other names 3299:Ciliopathy 3288:Categories 3272:See also: 3199:centrosome 3173:basal body 3145:Structural 2846:Keratocyst 2815:Pilar cyst 2617:Epispadias 2565:Megaureter 2427:Congenital 2350:Patient UK 2295:DiseasesDB 2068:2 November 2042:2 November 1882:2022-10-24 1812:2022-10-24 1448:2022-11-17 831:2015-07-31 598:2015-07-30 566:References 442:ultrasound 358:parenchyma 58:Nephrology 3213:Signaling 3152:receptor: 2661:Vestigial 2441:Abdominal 2330:eMedicine 2186:: 69–83. 1479:1555-905X 1371:: 69–83. 663:3 January 641:3 January 619:3 January 530:Prognosis 482:Tolvaptan 468:Treatment 428:Diagnosis 388:Mechanism 256:(ARPKD). 155:aneurysms 92:Treatment 53:Specialty 2872:Mucocele 2344:radio/69 2341:radio/68 2338:ped/1846 2335:med/1862 2212:21694932 2167:18947299 2124:21079243 1993:26171904 1944:Medscape 1925:70649130 1862:31361604 1788:26764208 1739:26538633 1690:32086281 1626:35664270 1577:31631001 1528:35570988 1397:21694932 1339:28192819 1268:Genomics 1204:22331271 1161:16449663 1112:27259053 1063:16816842 1011:17434405 973:12417947 965:16462154 919:25490692 803:26088074 714:20382325 554:See also 526:drugs". 505:dialysis 350:in utero 303:dialysis 217:dialysis 174:sonogram 151:pancreas 65:Symptoms 2970:liver: 2669:Urachus 2609:Urethra 2591:Bladder 2377:Scholia 2289:D007690 2203:3108786 2158:2834200 2115:2983067 1984:8406618 1853:6763267 1779:4835927 1730:4849816 1681:7133124 1617:9155228 1568:6904245 1519:9091612 1388:3108786 1331:8650545 1311:Bibcode 1303:Science 1288:8307555 1253:1980516 1244:1017261 1196:1676697 1152:1367205 1103:4908191 1019:1700992 910:4409326 745:1767134 705:2898711 434:CT scan 354:nephron 309:Genetic 219:and/or 215:(RRT): 116:) is a 3162:cargo: 2583:Pelvic 2552:Ureter 2480:cystic 2449:Kidney 2379:has a 2324:000502 2278:173900 2210:  2200:  2165:  2155:  2122:  2112:  2014:  1991:  1981:  1923:  1860:  1850:  1807:Medium 1786:  1776:  1737:  1727:  1688:  1678:  1624:  1614:  1575:  1565:  1526:  1516:  1477:  1420:  1395:  1385:  1337:  1329:  1286:  1251:  1241:  1202:  1194:  1159:  1149:  1110:  1100:  1061:  1017:  1009:  991:Lancet 971:  963:  917:  907:  855:  801:  743:  712:  702:  684:Lancet 322:, and 235:, and 192:exam. 149:, and 2792:Milia 2381:topic 2300:10262 2267:753.1 1921:S2CID 1335:S2CID 1200:S2CID 1015:S2CID 969:S2CID 446:liver 402:cilia 382:PKHD1 313:genes 243:Cause 207:) or 205:ACEIs 184:, or 143:liver 126:cysts 74:Types 2837:and 2821:and 2817:and 2813:and 2785:and 2769:Skin 2645:Both 2284:MeSH 2273:OMIM 2262:9-CM 2208:PMID 2163:PMID 2120:PMID 2070:2014 2044:2014 2012:ISBN 1989:PMID 1967:2015 1858:PMID 1784:PMID 1735:PMID 1686:PMID 1622:PMID 1573:PMID 1524:PMID 1475:ISSN 1418:ISBN 1393:PMID 1327:PMID 1284:PMID 1249:PMID 1192:PMID 1157:PMID 1108:PMID 1059:PMID 1007:PMID 961:PMID 915:PMID 853:ISBN 799:PMID 741:PMID 710:PMID 665:2018 643:2018 621:2018 522:and 440:and 408:and 324:PKD3 320:PKD2 316:PKD1 186:eGFR 110:PCKD 2432:of 2258:ICD 2252:Q61 2243:ICD 2198:PMC 2188:doi 2153:PMC 2145:doi 2110:PMC 2102:doi 2098:191 1979:PMC 1971:doi 1911:doi 1848:PMC 1840:doi 1836:129 1774:PMC 1766:doi 1762:310 1725:PMC 1717:doi 1676:PMC 1668:doi 1612:PMC 1604:doi 1563:PMC 1555:doi 1514:PMC 1506:doi 1383:PMC 1373:doi 1319:doi 1307:272 1276:doi 1239:PMC 1231:doi 1184:doi 1147:PMC 1139:doi 1098:PMC 1090:doi 1049:doi 999:doi 995:369 953:doi 905:PMC 897:doi 789:doi 760:at 700:PMC 692:doi 688:375 438:MRI 178:BUN 108:or 106:PKD 3290:: 3202:: 3176:: 2353:: 2333:: 2322:: 2298:: 2287:: 2276:: 2265:: 2250:: 2247:10 2206:. 2196:. 2182:. 2178:. 2161:. 2151:. 2141:60 2139:. 2135:. 2118:. 2108:. 2096:. 2092:. 1987:. 1977:. 1965:. 1961:. 1942:. 1919:. 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Index


Specialty
Nephrology
Symptoms
Diagnostic method
genetic disorder
renal tubules
cysts
autosomal dominant polycystic kidney disease
autosomal recessive polycystic kidney disease
liver
seminal vesicles
pancreas
aneurysms
circle of Willis
cerebral arteries
subarachnoid hemorrhage
sonogram
BUN
serum creatinine
eGFR
CT
renin–angiotensin–aldosterone system
angiotensin converting enzyme inhibitors
ACEIs
angiotensin receptor blockers
renal replacement therapy
dialysis
transplantation
blood in the urine

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