Cystic renal disease

Last updated: Friday, 26, November, 2010
Key InformationAppropriate Tests

A number of sporadic and inherited disorders may lead to the development of multiple renal cysts.

These include adult polycystic disease (dominant inheritance), infantile polycystic disease (recessive inheritance) and cystic renal dysplasia.

The diagnosis is primarily made on clinical and diagnostic imaging findings.

Pathology tests may be indicated for the assessment of complications: urine microscopy; creatinine, urea, electrolytes; FBC, blood film.

Many of the infantile forms are rapidly fatal; accurate histological assessment at autopsy is required to characterise the disorder and evaluate the risk in future pregnancies.

In the adult autosomal dominant form of polycystic kidney disease, molecular genetics may be of assistance for at risk family members.

Manifestations + Complications

Haematuria

Hypertension

Chronic Renal failure

See Renal failure

Renal mass

Iron deficiency anaemia

See Iron deficiency

Erythrocytosis

See Polycythaemia