Abstract
Seven children aged 1 day to 12 years with infantile polycystic kidney disease (IPCD) were evaluated by a new high-resolution real-time ultrasound scanner. Instead of the monotonous increased echogenicity of renal parenchyma seen with earlier ultrasound equipment, the echo texture of IPCD became more differentiated, showing disseminated tiny cysts associated with high-amplitude echoes. Even in the newborn, cysts as small as 2 mm in diameter could be detected. Analysis of the new sonographic features of IPCD reveals specific “pepper and salt” and “striped” patterns. In association with such well-known sonographic findings as bilateral enlarged kidneys and poor definition of renal sinus, medulla, and cortex, this pattern allows one to make the final diagnosis of IPCD.
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References
Bernstein J: Polycystic disease. In Edelmann CM (ed):Pediatric Kidney Disease, 1st ed. Boston: Little, Brown and Company, 1978, pp 557–570
Liebermann L, Salinas-Madrigal L, Gwinn JL, Brennan LP, Fine RN, Landing BH: Infantile polycystic disease of the kidneys and liver: clinical, pathological, and radiological correlation and comparison with congenital hepatic fibrosis.Medicine 50:277–318, 1971
Metreweli C, Garel L: The echographic diagnosis of infantile renal polycystic disease.Ann Radiol 23:103–107, 1980
Boal DK, Teele RL: Sonography of infantile polycystic kidney disease.AJR 135:575–580, 1980
Artaud J, Broussin N, Cadier L, Diard F: Aspects echographiques des polykystoses hépato-rénales récessive chez l’enfant.J Radiol 61:243–249, 1980
Proesmans W, Van Damme B, Casaen P, Marchal G: Autosomal dominant polycystic kidney disease in the neonatal period: association with a cerebral arteriovenous malformation.Pediatrics 70:971–975, 1982
Fellows RA, Leonidas JC, Beatty EC: Radiologic features of “adult-type” polycystic kidney disease in the neonate.Pediatr Radiol 4:87–91, 1976
Blyth H, Ockenden BG: Polycystic disease of kidneys and liver presenting in childhood.J Med Genet 8:257–284, 1971
Rosenfield AT, Siegel NS, Kappelman NB, Taylor KJW: Gray scale ultrasonography in medullary cystic disease of the kidney and congenital hepatic fibrosis with tubular ectasia: new observations.Am J Roentgenol 129:297–303, 1977
Rosenfield AT, Curtis AM, Putman CE, Taylor KJW, Allen WE, Siegel NJ, Hsia YE: Gray scale ultrasonography, computerized tomography, and nephrotomography in evaluation of polycystic kidney and liver disease.Urology 9:436–438, 1977
Kaplan BS, Rabin I, Nogrady MB, Drummond KN: Autosomal dominant polycystic renal disease in children.J Pediatr 90:782–783, 1977
Stuck KJ, Koff SA, Silver TM: Ultrasonic features of multicystic dysplastic kidney: expanded diagnostic criteria.Radiology 143:217–221, 1982
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Wernecke, K., Heckemann, R., Bachmann, H. et al. Sonography of infantile polycystic kidney disease. Urol Radiol 7, 138–145 (1985). https://doi.org/10.1007/BF02926872
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DOI: https://doi.org/10.1007/BF02926872