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Case 7.21 

Case 7.21
Chapter:
Case 7.21
Author(s):

Christine U. Lee

, and James F. Glockner

DOI:
10.1093/med/9780199915705.003.0182
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date: 20 October 2019

40-year-old woman with chronic disease

Coronal SSFSE images (Figure 7.21.1) reveal bilateral enlarged kidneys containing innumerable cysts of various sizes, including some with hemorrhagic debris. Note also the multiple small hepatic cysts.

Autosomal dominant polycystic kidney disease

ADPKD is one of the most common hereditary renal disorders, with an estimated prevalence between 1 in 300 and 1 in 1,000 persons. It accounts for approximately 8% to 10% of patients with end-stage renal disease in the United States and Europe. ADPKD has autosomal dominant inheritance in 90% of cases; 10% occur sporadically. Two separate genetic mutations are responsible for most cases of ADPKD: the ...

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