Extrarenal Manifestations of Autosomal Dominant Polycystic Kidney Disease
Among extrarenal manifestations of autosomal dominant polycystic kidney disease (ADPKD), liver abnormalities are the most frequent and intracranial aneurysms, the most severe. Liver cysts develop later than renal cysts, and are more prevalent in females, most particularly in those who have had multiple pregnancies. The treatment of massive polycystic liver is difficult. In very rare families, congenital hepatic fibrosis may be associated with ADPKD. Rupture of an intracranial aneurysm (ICA) is a life-threatening complication. The mean age at rupture is 39 years. This accident may occur in normotensive patients with normal renal function. Routine screening is indicated when there is a positive family history of ICA or when there has been a previous accident of ICA rupture.
KeywordsCholesterol Endocarditis Noma Secretin Pregnan
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