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Renal agenesis history and symptoms

Introduction

Overview

Overview

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. 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.

History

History

Maternal history during pregnancy for the following may be important in unilateral renal disease (URA):[1]

The following may be important to check in the family history of patients with URA:[2]Β 

Symptoms

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

References

  1. ↑ 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. PMIDΒ 16956352.
  2. ↑ 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. PMIDΒ 30734167.
  3. ↑ Laurichesse Delmas H, Kohler M, Doray B, LΓ©mery 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. PMIDΒ 28722320.
  4. ↑ 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. PMIDΒ 23449343.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]