Acquired cystic kidney disease

Changed by Bruno Di Muzio, 14 Jun 2015

Updates to Article Attributes

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Acquired cystic kidney disease (ACKD) is developsa condition that may be observed in those patients with end-stage kidney disease is strongly associated with long term haemodialysis(ESKD), especially patients on dialysis treatment, and who not have a history of hereditary cystic disease. 

Epidemiology

  • content pending

Clinical presentation

Cyst haemorrhage may cause flank pain and haematuria 2.

Pathology

  • Diagnositc criteria include 3-5 cysts in patients with chronic renal failure.content pending

Radiographic features

Classical imaging features include small renal cysts, occurring in both the cortex and medulla, which are found bilaterally, with both kidneys typically being small in size (refer on chronic kidney disease (CKD) article for a broad discussion on its correlated imaging findings).

Diagnostic criteria include 3-5 cysts in patients with chronic renal failure.

Complications include:

  • haemorrhage into cysts, which occurs occasionally
  • development of renal cell carcinoma, which occurs in approximately 7%. - imaging screening is advised for those patients 4,5

History and etymology

ACKD was first described in 1977 by M. S. Dunnil et al. 4,5

  • -<p><strong>Acquired cystic kidney disease (ACKD)</strong> is develops in patients with <a href="/articles/esrf">endstage renal failure (ESRF)</a>. The disease is strongly associated with long term haemodialysis.</p><p>Diagnositc criteria include 3-5 cysts in patients with chronic renal failure.</p><h4>Radiographic features</h4><p>Classical imaging features include small renal cysts, occurring in both the cortex and medulla, which are found bilaterally, with both kidneys typically being small in size.</p><p>Complications include:</p><ul>
  • +<p><strong>Acquired cystic kidney disease (ACKD)</strong> is a condition that may be observed in those patients with <a href="/articles/end-stage-kidney-disease">end-stage kidney disease (ESKD)</a>, especially patients on dialysis treatment, and who not have a history of hereditary cystic disease. </p><h4>Epidemiology</h4><ul><li><em>content pending</em></li></ul><h4>Clinical presentation</h4><p>Cyst haemorrhage may cause flank pain and haematuria <sup>2</sup>.</p><h4>Pathology</h4><ul><li><p><em>content pending</em></p></li></ul><h4>Radiographic features</h4><p>Classical imaging features include small renal cysts, occurring in both the cortex and medulla, which are found bilaterally, with both kidneys typically being small in size (refer on <a href="/articles/chronic-kidney-disease">chronic kidney disease (CKD)</a> article for a broad discussion on its correlated imaging findings).</p><p>Diagnostic criteria include 3-5 cysts in patients with chronic renal failure.</p><p>Complications include:</p><ul>
  • -<li>development of <a href="/articles/renal-cell-carcinoma-1">renal cell carcinoma</a>, which occurs in approximately 7%.</li>
  • -</ul>
  • +<li>development of <a href="/articles/renal-cell-carcinoma-1">renal cell carcinoma</a>, which occurs in approximately 7% - imaging screening is advised for those patients <sup>4,5</sup>
  • +</li>
  • +</ul><h4>History and etymology</h4><p>ACKD was first described in 1977 by <strong>M. S. Dunnil</strong> et al. <sup>4,5</sup></p>

References changed:

  • 3. Levine E. Acquired cystic kidney disease. Radiol. Clin. North Am. 1996;34 (5): 947-64. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8784391">Pubmed citation</a><span class="auto"></span>
  • 4. Scandling JD. Acquired cystic kidney disease and renal cell cancer after transplantation: time to rethink screening?. Clin J Am Soc Nephrol. 2007;2 (4): 621-2. <a href="http://dx.doi.org/10.2215/CJN.02000507">doi:10.2215/CJN.02000507</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/17699473">Pubmed citation</a><span class="auto"></span>

Tags changed:

  • cases

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