Renal agenesis history and symptoms: Difference between revisions
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Since patients with unilateral renal agenesis (URA) have an increased risk for [[proteinuria]], [[hypertension]], and [[renal insufficiency]], checking for symptoms of these complications should be considered.<ref name="pmid30734167" /> | Since patients with unilateral renal agenesis (URA) have an increased risk for [[proteinuria]], [[hypertension]], and [[renal insufficiency]], checking for symptoms of these complications should be considered.<ref name="pmid30734167" /> | ||
Checking for other contralateral [[Congenital disorder|congenital]] [[anomaly]] of [[kidney]] or [[Urinary system|urinary tract]] (CAKUT) such as [[Vesicoureteral reflux|VUR (vesicoureteral reflux)]] and PUJO (pelviureteric junction obstruction), extra-renal [[Anomaly|anomalies]] in different organs (such as [[Heart|cardiac]], [[lung]], [[Gastrointestinal tract|gastrointestinal]], [[Sex organ|genital]], [[skeleton]], and [[Vertebra|vertebral]]) , and associated syndromes and sequences (such as [[VACTERL association|VACTERL]], [[CHARGE syndrome|CHARGE]] and [[Edwards syndrome|Trisomy 18]]) should be considered when URA is diagnosed.< | Checking for other contralateral [[Congenital disorder|congenital]] [[anomaly]] of [[kidney]] or [[Urinary system|urinary tract]] (CAKUT) such as [[Vesicoureteral reflux|VUR (vesicoureteral reflux)]] and PUJO (pelviureteric junction obstruction), extra-renal [[Anomaly|anomalies]] in different organs (such as [[Heart|cardiac]], [[lung]], [[Gastrointestinal tract|gastrointestinal]], [[Sex organ|genital]], [[skeleton]], and [[Vertebra|vertebral]]) , and associated syndromes and sequences (such as [[VACTERL association|VACTERL]], [[CHARGE syndrome|CHARGE]] and [[Edwards syndrome|Trisomy 18]]) should be considered when URA is diagnosed.<ref name="pmid28722320">{{cite journal| author=Laurichesse Delmas H, Kohler M, Doray B, Lémery D, Francannet C, Quistrebert J | display-authors=etal| title=Congenital unilateral renal agenesis: Prevalence, prenatal diagnosis, associated anomalies. Data from two birth-defect registries. | journal=Birth Defects Res | year= 2017 | volume= 109 | issue= 15 | pages= 1204-1211 | pmid=28722320 | doi=10.1002/bdr2.1065 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28722320 }} </ref><ref name="pmid23449343">{{cite journal| author=Westland R, Schreuder MF, Ket JC, van Wijk JA| title=Unilateral renal agenesis: a systematic review on associated anomalies and renal injury. | journal=Nephrol Dial Transplant | year= 2013 | volume= 28 | issue= 7 | pages= 1844-55 | pmid=23449343 | doi=10.1093/ndt/gft012 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23449343 }} </ref> | ||
==References== | ==References== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]
Overview
History
Maternal history during pregnancy for the following may be important in unilateral renal disease (URA):[1]
- Uncontrolled diabetes
- Treatment for hypertension
The following may be important to check in the family history of patients with URA:[2]
- URA
- CAKUT (congenital anomalies of the kidney and urinary tract)
- End stage renal disease (ESRD)
- Consanguinity
Symptoms
Since patients with unilateral renal agenesis (URA) have an increased risk for proteinuria, hypertension, and renal insufficiency, checking for symptoms of these complications should be considered.[2]
Checking for other contralateral congenital anomaly of kidney or urinary tract (CAKUT) such as VUR (vesicoureteral reflux) and PUJO (pelviureteric junction obstruction), extra-renal anomalies in different organs (such as cardiac, lung, gastrointestinal, genital, skeleton, and vertebral) , and associated syndromes and sequences (such as VACTERL, CHARGE and Trisomy 18) should be considered when URA is diagnosed.[3][4]
References
- ↑ Woolf AS, Hillman KA (2007). "Unilateral renal agenesis and the congenital solitary functioning kidney: developmental, genetic and clinical perspectives". BJU Int. 99 (1): 17–21. doi:10.1111/j.1464-410X.2006.06504.x. PMID 16956352.
- ↑ 2.0 2.1 Xu Q, Wu H, Zhou L, Xie J, Zhang W, Yu H; et al. (2019). "The clinical characteristics of Chinese patients with unilateral renal agenesis". Clin Exp Nephrol. 23 (6): 792–798. doi:10.1007/s10157-019-01704-x. PMID 30734167.
- ↑ Laurichesse Delmas H, Kohler M, Doray B, Lémery D, Francannet C, Quistrebert J; et al. (2017). "Congenital unilateral renal agenesis: Prevalence, prenatal diagnosis, associated anomalies. Data from two birth-defect registries". Birth Defects Res. 109 (15): 1204–1211. doi:10.1002/bdr2.1065. PMID 28722320.
- ↑ Westland R, Schreuder MF, Ket JC, van Wijk JA (2013). "Unilateral renal agenesis: a systematic review on associated anomalies and renal injury". Nephrol Dial Transplant. 28 (7): 1844–55. doi:10.1093/ndt/gft012. PMID 23449343.