Sonographic Analysis of Adult Polycystic Kidney Disease: Retrospective Data from South-East Nigeria
Niger. j. clin. pract. (Online)
; 18(2): 178-182, 2015.
Article
in English
| AIM
| ID: biblio-1267134
Responsible library:
CG1.1
RESUMO
Background:
Autosomal dominant polycystic kidney disease (APKD); an inheritable multisystem disease characterized by intrarenal and at times extrarenal disease; has been studied extensively among Caucasian populations. Despite the fact that being black is a risk factor for progressive disease; there is paucity of local published data. As a result; true local incidence and peculiarities in clinical and sonographic characteristics are unknown.Aim:
To present data from 19 patients diagnosed with APKD in a medium-sized facility over a 16-year period.Materials andMethods:
A retrospective search was done on the ultrasound registers for patients who had undergone abdominal ultrasound in 16 years (1997-2013). Of the 29 sonographic diagnoses of bilateral PKD made; only 19 had complete records and were included in the study. Data extracted were- age; sex; working diagnosis; renal size; diameter of renal cysts; presence or absence of extrarenal cysts; family history of renal cystic disease; blood pressure at diagnosis; and patient outcome.Results:
A total of 19 diagnoses of APKD were made- 12 males and seven females with a sex ratio of 10.6. Total mean age was 54.8 years (range 31-79 years)- 40.1 years for females and 57.2 years for males. In 89.5 of cases; no family history of APKD was obtained. Only six (31.6) patients were hypertensive at presentation and three patients (16) were already in renal failure. Ultrasound showed a mean renal size of 88.92 cm 2 for the right kidney and 98.97cm 2 for the left. Mean cyst diameter was 3.46 cm (range 2.08-4.85cm). Only one patient had documented extrarenal cystic disease. Two patients were lost to renal failure and congestive cardiac failure.Conclusion:
APKD appears to be uncommon in our environment; however; more studies may be elucidatory. Standard sonographic protocol for collecting data from patients with APKD is needed
Full text:
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Index:
AIM (Africa)
Main subject:
Ultrasonography
/
Polycystic Kidney Diseases
Type of study:
Diagnostic study
/
Practice guideline
/
Risk factors
Language:
English
Journal:
Niger. j. clin. pract. (Online)
Year:
2015
Type:
Article
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