Anadolu Medical Center Child Nephrology Specialist Assoc. Dr. Nese gave important information about cystic kidney disease
Hereditary congenital or acquired cystic kidney diseases are manifested by urinary tract infection, urinary bleeding or pain. Trying to drink water at night is one of the symptoms that may attract the attention of families.
Especially in cystic kidney diseases which have familial characteristics, it is important for early diagnosis of family screening by ultrasonography. Family history, siblings' ultrasonography, blood pressure, renal function and urinalysis should be evaluated when evaluating a child with cyst in her kidneys.
Cystic kidney diseases include a group of diseases that contain fluid-containing vesicles in the kidney. Cysts are often hereditary and developmental, and less frequently occur later in the child's life. Cystic kidney diseases have different findings and their course is different from each other. In some children, cysts are detected incidentally by imaging for different purposes, while some children are brought to us with symptoms related to urinary tract infection, high blood pressure (hypertension), bleeding in the urine, pain or renal failure.
Diseases in which polycystic kidney disease, ie, multiple cysts occur in both kidneys, are hereditary. As a result of genetic disorders, cysts begin to form in the kidney. Over time, the cysts grow and compress normal kidney tissue, which has a negative effect on the functioning of the kidneys. The inherited transmission of these diseases from generation to generation can take place in different ways. This difference also affects the quality of the child's health problems.
Polycystic kidney disease often occurs in adulthood. Polycystic Kidney Disease can also occur in childhood or very rarely in neonatal period. Symptoms of this disease include abdominal mass, urinary tract infection, high blood pressure and liver or pancreatic cyst, brain aneurysm. Ultrasound shows that both kidneys are large and contain multiple cysts. If one of the parents has this disease, there is a 50% chance of having the disease in children. Diagnosis is made by family history, clinical and radiological examination.
Parents need to be very careful about cystic diseases of the kidney. In fact, there are symptoms that parents may notice. Cystic disease, which we call 'juvenile nephronophysis', is seen in childhood, not infancy. It occurs mostly in children between the ages of two and five years, drinking a lot of water, a lot of urination, anemia, growth retardation. Trying to drink water at night often accompanies these symptoms. Weakness and skin pale may be observed. In the absence of symptoms such as edema, urinary tract infection, high blood pressure, and presence of blood in the urine, the diagnosis can be made quite late. Chronic renal failure may also develop during adolescence. Problems in the organs such as the eye, liver or bone may also accompany this condition. The most important issue in terms of mother and father candidates, regular follow-up during pregnancy, blood tests and ultrasonography screening of the disease is not interrupted. If the infant has one of the cystic diseases of the kidney, it should be monitored very regularly through pediatric specialists and pediatric nephrologists. In many patients, the main health problem may be hypertension or urinary tract infections, not kidney cysts. With timely diagnosis and appropriate treatment, children can continue their development without any problems. Parents also have important responsibilities for the complete treatment of children.