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Nephrol Dial Transplant (2000) 15: 1245-1247
© 2000 European Renal Association-European Dialysis and Transplant Association

Teaching Points

The hypertensive young lady with renal cysts—it is not always polycystic kidney disease

(Section Editor: K. Kühn)

Kevin McLaughlin1,, J. Brian Neilly2, Jonathan G. Fox3 and J. Michael Boulton-Jones1

1 Renal Unit, Glasgow Royal Infirmary, 2 Medical Unit, Glasgow Royal Infirmary and 3 Renal Unit, Stobhill Hospital, Glasgow

Case report

A 30-year-old female was referred with hypertension and renal failure. She had no personal or family history of renal disease although both her mother and sister were hypertensive (II5 and III3 respectively in family tree, Figure 1Go). Blood pressure was 196/116 mmHg with grade II retinopathy. Both kidneys were palpable and urine analysis revealed protein+only. Serum creatinine was 160 µmol/l with 24 h urine albumin excretion of 106 mg. Ultrasound showed both kidneys to be enlarged at 20 cm with multiple cysts (average diameter 2 cm). No hepatic or pancreatic cysts were seen. During childhood she had treatment for congenital defects including correction of a bifid right great toe and excision of . . . [Full Text of this Article]

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