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Polycystic kidney disease |
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| Alternative Names: | Cysts - kidneys; Kidney - polycystic; Autosomal dominant polycystic kidney disease; ADPKD
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| Treatment: | Currently, no treatment can prevent the cysts from forming or enlarging. Treatment goals are the reduction of symptoms and prevention of complications.
Hypertension may be difficult to control, but control of it is the most important aspect of treatment. Treatment may include antihypertensive and/or diuretic medications, low salt diet, or other treatments.
A urinary infection should be treated promptly with appropriate antibiotics.
If there are symptoms of anemia, it may be treated with iron and other supplements, erythropoietin administration, or blood transfusion.
Surgical or radiologic drainage of cysts may be indicated because of pain, bleeding, infection, or obstruction. (There are usually too many cysts to make cyst removal a feasible alternative.)
Surgical removal of one or both kidneys may be required. Treatment of end-stage kidney disease may include kidney dialysis or kidney transplantation.
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| Expectations (prognosis): | Polycystic kidney disease progresses slowly but persistently. Medical treatment may provide relief of symptoms for many years. Eventual end-stage kidney failure is common.
The absence of systemic disease or autoimmune disease makes people with polycystic kidney disease good candidates for kidney transplantation.
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| Calling your health care provider: | Call your health care provider if symptoms indicate polycystic kidney disease may be present.
Call for an appointment with your health care provider if there is a family history of polycystic kidney disease or associated disorders and children are planned. Genetic counseling may be offered because of the pattern of inheritance of the disorder.
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Review Date: 12/1/2001
Reviewed By: Andrew Koren, M.D., Department of Nephrology, NYU-Mount Sinai Medical Center, New York, NY. Review provided by VeriMed Healthcare Network.
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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2003 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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