Polichistoza renală la copil

Abstract

Renal cystyc diseases- the most serious and frequent nephropathies. Most of them are hereditary monogenic diseases, in which prophylaxis may be effective. The incidence of hereditary forms, according to many authors, varies between 1: 400 to 1: 1000 births. In 10 % of nephrological patients, which need hemodialysis or renal transplant, these pathologies represent the cause of chronic renal failure. It is represented a clinical case of a female patient aged 17, who adressed to nephrology clinic with complaints of bilateral lumbar pain and leg edema. She was diagnosed with Kidney anomaly. Renal bilateral polycystyc disease. Secondary pyelonephritis, relapsed evolution, remission stage. The kidney function was preserved. This clinical case is interesting because of the disease incidence. Taking into account the hereditary history, laboratory tests data, ultrasonography results, scintigraphy and CT results, the prognosis is reserved, with a possible evolution to chronic renal failure.

Bolile chistice renale – unele dintre cele mai grave şi mai frecvente nefropatii. Majoritatea din ele sunt boli ereditare monogenice, în care profilaxia poate fi efectivă. Incidenţa formelor ereditare după datele mai multor autori variază de la 1:400 la 1:1000 de naşteri. La 10 % dintre bolnavii nefrologici, care necesită hemodializă sau transplant renal, aceste patologii prezintă cauza dezvoltării insuficienţei renale cronice.