Volume Progression in Polycystic Kidney Disease

Autosomal dominant polycystic kidney disease (ADPKD) is characterized by progressive enlargement of cyst-filled kidneys. A magnetic-resonance–based method was used to determine the rates of change in total kidney volume and cyst volume and iothalamate clearance over a three-year period in patients w...

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Veröffentlicht in:The New England journal of medicine 2006-05, Vol.354 (20), p.2122-2130
Hauptverfasser: Grantham, Jared J, Torres, Vicente E, Chapman, Arlene B, Guay-Woodford, Lisa M, Bae, Kyongtae T, King, Bernard F, Wetzel, Louis H, Baumgarten, Deborah A, Kenney, Phillip J, Harris, Peter C, Klahr, Saulo, Bennett, William M, Hirschman, Gladys N, Meyers, Catherine M, Zhang, Xiaoling, Zhu, Fang, Miller, John P
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container_end_page 2130
container_issue 20
container_start_page 2122
container_title The New England journal of medicine
container_volume 354
creator Grantham, Jared J
Torres, Vicente E
Chapman, Arlene B
Guay-Woodford, Lisa M
Bae, Kyongtae T
King, Bernard F
Wetzel, Louis H
Baumgarten, Deborah A
Kenney, Phillip J
Harris, Peter C
Klahr, Saulo
Bennett, William M
Hirschman, Gladys N
Meyers, Catherine M
Zhang, Xiaoling
Zhu, Fang
Miller, John P
description Autosomal dominant polycystic kidney disease (ADPKD) is characterized by progressive enlargement of cyst-filled kidneys. A magnetic-resonance–based method was used to determine the rates of change in total kidney volume and cyst volume and iothalamate clearance over a three-year period in patients with ADPKD without azotemia. Higher rates of kidney enlargement were associated with more rapid decreases in renal function. A magnetic-resonance–based method was used to determine the rates of change in total kidney volume and cyst volume in patients with ADPKD. Higher rates of kidney enlargement were associated with more rapid decreases in renal function. Autosomal dominant polycystic kidney disease (ADPKD) is the most common renal disorder involving a single gene and the fourth leading cause of end-stage renal disease in adults. 1 , 2 Renal cysts contribute to morbidity and can impair the quality of life early in the course of the disease. Pain and gross hematuria are reported in approximately 60 percent of patients. 3 , 4 ADPKD ultimately leads to the destruction of renal parenchyma in more than 50 percent of patients. 5 – 9 Serum creatinine levels rise late in the course of the disease, only after the noncystic parenchyma has incurred serious, irreversible damage. The lack . . .
doi_str_mv 10.1056/NEJMoa054341
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A magnetic-resonance–based method was used to determine the rates of change in total kidney volume and cyst volume and iothalamate clearance over a three-year period in patients with ADPKD without azotemia. Higher rates of kidney enlargement were associated with more rapid decreases in renal function. A magnetic-resonance–based method was used to determine the rates of change in total kidney volume and cyst volume in patients with ADPKD. Higher rates of kidney enlargement were associated with more rapid decreases in renal function. Autosomal dominant polycystic kidney disease (ADPKD) is the most common renal disorder involving a single gene and the fourth leading cause of end-stage renal disease in adults. 1 , 2 Renal cysts contribute to morbidity and can impair the quality of life early in the course of the disease. Pain and gross hematuria are reported in approximately 60 percent of patients. 3 , 4 ADPKD ultimately leads to the destruction of renal parenchyma in more than 50 percent of patients. 5 – 9 Serum creatinine levels rise late in the course of the disease, only after the noncystic parenchyma has incurred serious, irreversible damage. 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Pain and gross hematuria are reported in approximately 60 percent of patients. 3 , 4 ADPKD ultimately leads to the destruction of renal parenchyma in more than 50 percent of patients. 5 – 9 Serum creatinine levels rise late in the course of the disease, only after the noncystic parenchyma has incurred serious, irreversible damage. The lack . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>16707749</pmid><doi>10.1056/NEJMoa054341</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Analysis of Variance
Biological and medical sciences
Cysts
Disease Progression
Female
General aspects
Glomerular Filtration Rate
Humans
Kidney - pathology
Kidney - physiopathology
Kidney diseases
Kidneys
Longitudinal Studies
Magnetic Resonance Imaging
Male
Malformations of the urinary system
Medical sciences
Mutation
Nephrology. Urinary tract diseases
Organ Size
Polycystic Kidney, Autosomal Dominant - genetics
Polycystic Kidney, Autosomal Dominant - pathology
Polycystic Kidney, Autosomal Dominant - physiopathology
Regression Analysis
title Volume Progression in Polycystic Kidney Disease
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