Unusual presentation of glomerulocystic kidney disease in an adult patient.
A 38-year-old Latin-American man developed uremic syndrome without any evidence of previous kidney diseases or any other health problems. Ultrasound and CT scan confirmed normal size of the kidneys without evidence of urinary tract obstruction or renal parenchymal cysts. Kidney biopsy showed cystic dilatation of Bowman's space (glomerulocystic kidney disease). The patient was started on hemodialysis. Severe renal dysfunction and uremic symptoms are a rare initial manifestation of glomerulocystic kidney disease. This pathology should be considered in the differential diagnosis of patients with normal size kidney and chronic renal failure.
Baylor College of Medicine, Department of Internal Medicine, Houston, Texas.
J M
JM
Gonzalez
M E
ME
Lombardo
L D
LD
Truong
S
S
Brennan
W N
WN
Suki
D000328:Adult; D001706:Biopsy; D006801:Humans; D052177:Kidney Diseases, Cystic / Q000150:complications* / Q000473:pathology; D007676:Kidney Failure, Chronic / Q000209:etiology* / Q000628:therapy; D007678:Kidney Glomerulus / Q000473:pathology*; D008297:Male; D008854:Microscopy, Electron; D006435:Renal Dialysis