Renal hypoplasia
Renal hypoplasia is an abnormality that a person is born with in which one or both of the kidneys are smaller than normal (hypoplastic)[3] but with normal structure.[2]
renal hypoplasia | |
---|---|
Other names | Hypoplastic kidneys |
Specialty | Nephrology |
Diagnostic method | Ultrasound |
Differential diagnosis | Renal dysplasia, oligomeganephronia[1] |
Frequency | 1 in 400 births[2] |
It is defined as abnormally small kidneys, where the size is less than two standard deviations below the expected mean for the corresponding demographics, and the morphology is normal.[2][4] Disease severity depends on whether hypoplasia is unilateral of bilateral, and the degree of reduction in the number of nephrons.[4]
Presentation
Hypoplastic kidneys are prone to infection and kidney stone formation,[3]have a reduced nephron number,[2]( normal corticomedullary differentiation[4][5])
Complications
Renal hypoplasia is a common cause of kidney failure in children and also of adult-onset disease.[2]
Diagnosis
Diagnosis is typically through ultrasonography.[4]
Prevalence
Epidemiologic studies point to an estimated incidence of 1 in 400 births.[2]
References
- Copelovitch, Lawrence; Kaplan, Bernard S. (January 1, 2012). Gleason, , Christine A.; Devaskar, Sherin U. (eds.). Avery's Diseases of the Newborn (Ninth Edition). W.B. Saunders. p. 1184 – via ScienceDirect.
- Cain, Jason E.; Di Giovanni, Valeria; Smeeton, Joanna; Rosenblum, Norman D. (August 12, 2010). "Genetics of Renal Hypoplasia: Insights Into the Mechanisms Controlling Nephron Endowment". Pediatric Research. 68 (2): 91–98. doi:10.1203/PDR.0b013e3181e35a88 – via www.nature.com.
- Lote, Christopher J. (2012). Principles of Renal Physiology, 5th edition. Springer. p. 22.
- "S. Kohl, M. Liebau - Renal hypoplasia". www.orpha.net.
- Schreuder, Michiel F. "Renal hypoplasia". Oxford University Press. doi:10.1093/med/9780199592548.001.0001/med-9780199592548-chapter-348 – via oxfordmedicine.com.