Cystic Disease in Women: Clinical Characteristics and Medical Management

作者: Arlene B. Chapman

DOI: 10.1053/JARR.2003.50005

关键词:

摘要: Autosomal dominant polycystic kidney disease (ADPKD) is a dominantly inherited systemic disorder equally in men and women characterized by renal cyst development expansion ultimately leading to failure. ADPKD have slower rate of progression failure, with later age entry into end·stage (ESRD) as compared men. Renal growth are the hallmarks ADPKD, will develop insufficiency smaller volume than their male counterparts. As well, different rates occurrence extrarenal complications ADPKD. related including hypertension gross hematuria, occur more frequently women, whereas liver cystic occurs earlier The presence pregnancy number oral contraceptive pill use women. Importantly, massive requiring surgical intervention primarily ADKPD highly successful reproductive course. chance excellent comparable healthy unaffected long prepregnancy blood pressure function normal. Fetal complication no greater general population; however, maternal high an increased frequency new or worsening well preeclampsia preterm deliveries. Finally, increasing has minimal effect on outcome

参考文章(39)
R. Torra, C. Badenas, L. P�rez, X. Estivill, A. Darnell, Hypertension in Polycystic Kidney Disease Types 1 and 2 and Its Effect on the Age of Onset of End-Stage Renal Disease Contributions To Nephrology. ,vol. 122, pp. 28- 30 ,(1997) , 10.1159/000059886
P A Gabow, A M Johnson, A B Chapman, Pregnancy outcome and its relationship to progression of renal failure in autosomal dominant polycystic kidney disease. Journal of The American Society of Nephrology. ,vol. 5, pp. 1178- 1185 ,(1994) , 10.1681/ASN.V551178
A M Johnson, P A Gabow, Identification of patients with autosomal dominant polycystic kidney disease at highest risk for end-stage renal disease. Journal of The American Society of Nephrology. ,vol. 8, pp. 1560- 1567 ,(1997) , 10.1681/ASN.V8101560
P Gabow, R W Schrier, A M Johnson, S Rainguet, A B Chapman, K Hossack, Left ventricular hypertrophy in autosomal dominant polycystic kidney disease. Journal of The American Society of Nephrology. ,vol. 8, pp. 1292- 1297 ,(1997) , 10.1681/ASN.V881292
R Sherstha, C McKinley, P Russ, A Scherzinger, T Bronner, R Showalter, G T Everson, Postmenopausal estrogen therapy selectively stimulates hepatic enlargement in women with autosomal dominant polycystic kidney disease. Hepatology. ,vol. 26, pp. 1282- 1286 ,(1997) , 10.1002/HEP.510260528
Elizabeth R Stamm, Ronald R Townsend, Ann M Johnson, Kavita Garg, Michael Manco-Johnson, Patricia A Gabow, None, Frequency of ovarian cysts in patients with autosomal dominant polycystic kidney disease. American Journal of Kidney Diseases. ,vol. 34, pp. 120- 124 ,(1999) , 10.1016/S0272-6386(99)70117-4
Kim Swenson, Philip Seu, Milan Kinkhabwala, Melinda Maggard, Paul Martin, John Goss, Ronald Busuttil, Liver transplantation for adult polycystic liver disease Hepatology. ,vol. 28, pp. 412- 415 ,(1998) , 10.1002/HEP.510280218
Bettina Kränzlin, Gisela Schieren, Norbert Gretz, Azotemia and extrarenal manifestations in old female Han:SPRD (cy/+) rats Kidney International. ,vol. 51, pp. 1160- 1169 ,(1997) , 10.1038/KI.1997.159
Patrick S. Parfrey, John C. Bear, Janet Morgan, Benvon C. Cramer, Patrick J. McManamon, Mathew H. Gault, David N. Churchill, Manoj Singh, Richard Hewitt, Stefan Somlo, Stephen T. Reeders, The Diagnosis and Prognosis of Autosomal Dominant Polycystic Kidney Disease The New England Journal of Medicine. ,vol. 323, pp. 1085- 1090 ,(1990) , 10.1056/NEJM199010183231601