Computer tomographic study of patients with inconclusive echographic findings for autosomal dominant polycystic kidney disease.
40 patients (26 children and 14 adults) with clinico-genealogic and echographic evidence of autosomal dominant polycystic kidney disease (ADPKD) were subjected to a conventional noncontrast computer tomography (CT) of the kidneys. In children, computer tomography proved to be more sensitive than echography of the kidneys for detecting ADPKD. The two diagnosis coincided in 50% of the cases. Comparison of the echographic and computer tomographic diagnoses in adults suspected of having ADPKD showed a high rate of coincidence (92.86%). Computer tomography is recommended for patients with inconclusive echographic findings for ADPKD. In such cases it can detect the disease in early childhood allowing efficacious follow-up and prophylaxis of complications.
Dimitrakov
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Clinic of Nephrology, University of Medicine, Plovdiv, Bulgaria.
Hadzhigeorgiev
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Despotov
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D000293:Adolescent; D000328:Adult; D002648:Child; D003951:Diagnostic Errors; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D016891:Polycystic Kidney, Autosomal Dominant / Q000000981:diagnostic imaging*; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed / Q000706:statistics & numerical data; D014463:Ultrasonography