Raras
Buscar doenças, sintomas, genes...
Doença renal policística autossômica recessiva
ORPHA:731CID-10 · Q61.1CID-11 · GB8YDOENÇA RARA

Doença hereditária caracterizada pelo desenvolvimento de cistos que afetam os ductos coletores. Está frequentemente associada ao envolvimento hepático.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

Doença hereditária caracterizada pelo desenvolvimento de cistos que afetam os ductos coletores. Está frequentemente associada ao envolvimento hepático.

Pesquisas ativas
6 ensaios
9 total registrados no ClinicalTrials.gov
Publicações científicas
848 artigos
Último publicado: 2026 Mar 10
Medicamentos
1 registrados
TESEVATINIB

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1 medicamento registrado
Ver detalhes, fases e interações →
TESEVATINIB

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Europe
Início
All ages
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q61.1
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (5)
0202010503
Cariótipo — bandas G, Q ou Rgenetic_test
0202010600
Pesquisa de microdeleções/microduplicações por FISHlab_test
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202010260
Dosagem de alfa-fetoproteína
0301070040
Atendimento em reabilitação — doenças raras
Você se identifica com essa condição?
O Raras está aqui pra te apoiar — com ou sem diagnóstico

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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🫃
Digestivo
13 sintomas
🫘
Rins
11 sintomas
🫁
Pulmão
4 sintomas
🦴
Ossos e articulações
3 sintomas
📏
Crescimento
2 sintomas
😀
Face
2 sintomas

+ 23 sintomas em outras categorias

Características mais comuns

90%prev.
Fibrose hepática
Muito frequente (99-80%)
90%prev.
Rim aumentado
Muito frequente (99-80%)
90%prev.
Hipertensão
Muito frequente (99-80%)
90%prev.
Fibrose periportal
Muito frequente (99-80%)
90%prev.
Displasia renal policística
Muito frequente (99-80%)
55%prev.
Aumento da concentração sérica de ácidos biliares
Frequente (79-30%)
61sintomas
Muito frequente (5)
Frequente (24)
Ocasional (14)
Muito raro (8)
Sem dados (10)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 61 características clínicas mais associadas, ordenadas por frequência.

Fibrose hepáticaHepatic fibrosis
Muito frequente (99-80%)90%
Rim aumentadoEnlarged kidney
Muito frequente (99-80%)90%
HipertensãoHypertension
Muito frequente (99-80%)90%
Fibrose periportalPeriportal fibrosis
Muito frequente (99-80%)90%
Displasia renal policísticaPolycystic kidney dysplasia
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico848PubMed
Últimos 10 anos200publicações
Pico202338 papers
Linha do tempo
2026Hoje · 2026🧪 2003Primeiro ensaio clínico📈 2023Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

2 genes identificados com associação a esta condição. Padrão de herança: Autosomal recessive.

PKHD1FibrocystinDisease-causing germline mutation(s) (loss of function) inTolerante
FUNÇÃO

Promotes ciliogenesis in renal epithelial cells and therefore participates in the tubules formation and/ or ensures the maintenance of the architecture of the lumen of the kidney (By similarity). Has an impact on cellular symmetry by ensuring correct bipolar cell division through the regulation of centrosome duplication and mitotic spindle assembly and by maintaining oriented cell division (OCD) during tubular elongation through planar cell polarity (PCP) pathway (PubMed:20554582). During epithe

LOCALIZAÇÃO

Cell membraneCytoplasmCell projection, ciliumCytoplasm, cytoskeleton, cilium basal bodyCytoplasm, cytoskeleton, spindleChromosome, centromereApical cell membraneNucleusSecreted, extracellular exosomeSecretedEndoplasmic reticulumGolgi apparatus

MECANISMO DE DOENÇA

Polycystic kidney disease 4, with or without polycystic liver disease

A severe form of polycystic kidney disease affecting the kidneys and, in some cases, the hepatic biliary tract. The clinical spectrum is widely variable, with most cases presenting during infancy. The fetal phenotypic features classically include enlarged and echogenic kidneys, as well as oligohydramnios secondary to a poor urine output. Up to 50% of the affected neonates die shortly after birth, as a result of severe pulmonary hypoplasia and secondary respiratory insufficiency. In the subset that survives the perinatal period, morbidity and mortality are mainly related to severe systemic hypertension, renal insufficiency, and portal hypertension due to portal-tract fibrosis. PKD4 inheritance is autosomal recessive.

EXPRESSÃO TECIDUAL(Tecido-específico)
Rim - Medula
12.9 TPM
Rim - Córtex
8.8 TPM
Pâncreas
5.1 TPM
Testículo
2.2 TPM
Fígado
1.0 TPM
OUTRAS DOENÇAS (3)
polycystic kidney disease 4autosomal recessive polycystic kidney diseaseCaroli disease
HGNC:9016UniProt:P08F94
DZIP1LCilium assembly protein DZIP1LDisease-causing germline mutation(s) (loss of function) inTolerante
FUNÇÃO

Involved in primary cilium formation (PubMed:19852954, PubMed:28530676). Probably acts as a transition zone protein required for localization of PKD1/PC1 and PKD2/PC2 to the ciliary membrane (PubMed:28530676)

LOCALIZAÇÃO

Cytoplasm, cytoskeleton, cilium basal bodyCytoplasm, cytoskeleton, microtubule organizing center, centrosome, centriole

MECANISMO DE DOENÇA

Polycystic kidney disease 5

A form of polycystic kidney disease, a disorder characterized by progressive formation and enlargement of cysts in both kidneys, typically leading to end-stage renal disease in adult life. Cysts may also occur in other organs, particularly the liver. PKD5 inheritance is autosomal recessive.

EXPRESSÃO TECIDUAL(Ubíquo)
Cervix Endocervix
16.1 TPM
Útero
14.3 TPM
Fallopian Tube
13.5 TPM
Cervix Ectocervix
13.0 TPM
Ovário
10.9 TPM
INTERAÇÕES PROTEICAS (1)
OUTRAS DOENÇAS (2)
polycystic kidney disease 5autosomal recessive polycystic kidney disease
HGNC:26551UniProt:Q8IYY4

Medicamentos e terapias

TESEVATINIBPhase 1

Mecanismo: Receptor protein-tyrosine kinase erbB-2 inhibitor

Ver mais no OpenTargets

Variantes genéticas (ClinVar)

1,839 variantes patogênicas registradas no ClinVar.

🧬 PKHD1: NM_138694.4(PKHD1):c.53-6T>G ()
🧬 PKHD1: NM_138694.4(PKHD1):c.1271G>A (p.Trp424Ter) ()
🧬 PKHD1: NM_138694.4(PKHD1):c.808A>G (p.Ser270Gly) ()
🧬 PKHD1: NM_138694.4(PKHD1):c.5214T>G (p.Ile1738Met) ()
🧬 PKHD1: NM_138694.4(PKHD1):c.7205G>C (p.Gly2402Ala) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 4,811 variantes classificadas pelo ClinVar.

722
2646
1443
Patogênica (15.0%)
VUS (55.0%)
Benigna (30.0%)
VARIANTES MAIS SIGNIFICATIVAS
PKHD1: NM_138694.4(PKHD1):c.1271G>A (p.Trp424Ter) [Pathogenic]
PKHD1: NM_138694.4(PKHD1):c.808A>G (p.Ser270Gly) [Likely pathogenic]
PKHD1: NM_138694.4(PKHD1):c.7205G>C (p.Gly2402Ala) [Likely pathogenic]
PKHD1: NM_138694.4(PKHD1):c.6392C>T (p.Thr2131Ile) [Uncertain significance]
PKHD1: NM_138694.4(PKHD1):c.10767G>C (p.Gln3589His) [Uncertain significance]

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
3Fase 32
1Fase 12
·Pré-clínico5
Medicamentos catalogadosEnsaios clínicos· 1 medicamento · 8 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Doença renal policística autossômica recessiva

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

6 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

9 ensaios clínicos encontrados, 6 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
379 papers (10 anos)
#1

Deciphering the Impact of RAC1-SPTAN1 in ARPKD Cystogenesis Using Multifaceted Models.

Advanced science (Weinheim, Baden-Wurttemberg, Germany)2026 Feb 26

Autosomal recessive polycystic kidney disease (ARPKD) leads to severe renal cysts and progressive kidney dysfunction, with no approved treatments. The absence of such cystic phenotypes in Pkhd1-/- mice underscores the need for novel models that better recapitulate the human disease. We developed kidney organoid-on-chip models that mimic patients' distal-nephron cysts, identifying RAC1/c-FOS as potential therapeutic targets. However, critical questions remain regarding RAC1 activation during cyst formation, cyst origins, and underlying molecular mechanisms. Using a multifaceted approach, organoid-on-chip models, transgenic mice, and patient kidney samples, we identified reduced levels of SPTAN1, a cytoskeletal spectrin protein, as a key regulator of RAC1 activation and cystic pathology. SPTAN1-mutant kidney organoids and mice exhibited distal-nephron cysts, and elevated RAC1/c-FOS expression, consistent with ARPKD patients. Transcriptomics and live imaging revealed altered calcium signaling and increased intracellular calcium. Single-cell RNA-seq identified SLC8A1, a sodium/calcium exchanger, as a marker distinguishing distal/connecting tubules from collecting ducts in human kidneys, predominantly expressed in cystic epithelia in organoids and human ARPKD kidneys. Restoring SPTAN1 in PKHD1-/- organoids via CRISPR activation alleviated cystic phenotypes, normalized intracellular calcium, and reduced RAC1/c-FOS expression. These findings position SPTAN1 as a central player in ARPKD pathogenesis and highlight epigenome editing as a potential therapeutic strategy.

#2

Congenital Hepatic Fibrosis and/or Autosomal Recessive Polycystic Kidney Disease: A Single-center Experience.

Pediatric gastroenterology, hepatology &amp; nutrition2026 Jan

Congenital hepatic fibrosis (CHF) and/or autosomal recessive polycystic kidney disease (ARPKD) represent rare and complex clinical conditions in childhood. Diagnostic challenges often arise due to heterogeneity in clinical manifestations. This study included pediatric patients diagnosed with CHF and/or ARPKD who were followed by the Pediatric Gastroenterology and Pediatric Nephrology Departments. Patient records were reviewed retrospectively. A total of 23 patients were included in the study. The median age of the cohort was 12.7±4.8 years, and the median age at diagnosis was 0.6±3.4 years. Thirteen patients had combined CHF and ARPKD, while 10 had isolated ARPKD. The diagnosis was incidental in 13 patients (56.5%), whereas five patients (21.7%) presented with an abdominal mass. Most patients had mutations in the polycystic kidney and hepatic disease 1 gene. Bilateral kidney enlargement and multiple millimetric cysts were identified in the majority of cases. Three patients required organ transplantation during follow-up. Two patients who underwent liver or kidney transplantation experienced no complications, whereas the patient who received combined liver and kidney transplantation developed kidney failure secondary to reflux nephropathy. Except for one patient who died in infancy, disease progression was generally mild in the cohort. Although kidney involvement is often predominant, hepatic complications may develop over time, particularly in patients with combined disease. A collaborative, multidisciplinary approach is essential for effectively managing the complex manifestations of these ciliopathies.

#3

Identification of PDIA6 Mutation in a Case of Autosomal Recessive Polycystic Kidney Disease: A Case Report and Review of Literature.

Clinical genetics2026 Mar

Autosomal recessive polycystic kidney disease (ARPKD) is a rare but severe hereditary renal disorder characterized by bilaterally enlarged, cystic kidneys and varying degrees of hepatic fibrosis, often leading to early-onset kidney failure and significant morbidity. While most ARPKD cases are linked to mutations in the PKHD1 gene, recent advances in genomic sequencing have revealed that mutations in other genes, including PDIA6, may contribute to similar phenotypes. The PDIA6 gene encodes protein disulfide isomerase A6, which plays a critical role in protein folding within the endoplasmic reticulum (ER) and in the regulation of ER stress responses. Here, we report a rare and complex case of a full-term male neonate born to consanguineous Syrian refugee parents, who presented with a clinical constellation of features including polycystic kidney disease, severe oligohydramnios, pulmonary hypoplasia, microcephaly, rib thoracic dysplasia, and global developmental delay. Genetic analysis using whole-exome sequencing identified a homozygous two-base deletion in exon 5 of the PDIA6, resulting in a premature stop codon. Early diagnosis via genomic tools is essential for prognosis, management, and genetic counseling.

#4

Advances in pediatric kidney diffusion tensor imaging: diagnostic and functional applications.

Pediatric radiology2026 Mar 13

Diffusion tensor imaging (DTI) offers a non-invasive window into kidney microstructure by measuring directional water diffusion. In pediatric populations, where early detection of kidney dysfunction is crucial, DTI shows promise for evaluating structural integrity, diagnosing conditions, and monitoring chronic diseases such as autosomal recessive polycystic kidney disease (ARPKD). This review briefly presents the principles of renal DTI, key acquisition techniques, and important nuances in applying this modality to kidney evaluation. We provide an overview of representative post-acquisition processing pipelines for diffusion tensor generation, tractography, and quantitative analysis. We then summarize current applications of DTI in assessing kidney structure, including its use in select diseases, with focused emphasis on pediatric conditions such as ureteropelvic junction obstruction (UPJO), polycystic kidney disease, and pediatric kidney transplantation. Applications for other renal disorders are also reviewed. Finally, we outline current challenges related to standardization and highlight future research directions needed to refine methodology and further establish the clinical utility of renal DTI.

#5

Caroli disease associated with autosomal recessive polycystic kidney disease: CT imaging features of a case report.

Radiology case reports2026 May

Caroli disease (CD) is a rare congenital hepatobiliary disorder characterized by multifocal segmental dilatation of the intrahepatic bile ducts, which may involve the entire liver or only a specific region. This rare pathology is seen in a very small proportion of the global population. Clinical manifestations vary between individuals and may overlap with other hepatobiliary disorders, making diagnosis and management challenging. Due to limited understanding and experience, early diagnosis and intervention are crucial for improving survival. In our case, Caroli disease is associated with autosomal recessive polycystic kidney disease (ARPKD), both of which are autosomal recessive disorders most commonly found in infants and children, with survival into adulthood being rare.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC406 artigos no totalmostrando 197

2026

Advances in pediatric kidney diffusion tensor imaging: diagnostic and functional applications.

Pediatric radiology
2026

Caroli disease associated with autosomal recessive polycystic kidney disease: CT imaging features of a case report.

Radiology case reports
2026

Studies of mice with a large deletion of the ARPKD-associated Pkhd1 locus likely explain its GWAS association with glaucoma in humans.

bioRxiv : the preprint server for biology
2026

Next-Generation Sequencing Defines a Molecularly Confirmed ARPKD Core Within the Broader PKHD1-Associated Disease Spectrum.

Genes
2026

Deciphering the Impact of RAC1-SPTAN1 in ARPKD Cystogenesis Using Multifaceted Models.

Advanced science (Weinheim, Baden-Wurttemberg, Germany)
2026

Novel compound heterozygous PKHD1 mutations in a Chinese ARPKD pedigree and analysis of genotype-phenotype correlations.

Frontiers in medicine
2026

Disruption of the human cystin-1 myristoyl-electrostatic switch causes polycystic kidney disease that phenocopies autosomal recessive polycystic kidney disease.

Kidney international
2026

Investigation of Urinary Extracellular Vesicles as Novel and Safe Therapeutics for Autosomal Recessive Polycystic Kidney Disease (ARPKD).

Journal of biomedical materials research. Part A
2025

Identification of Pathogenic PKHD1 Variants in Infants with Autosomal Recessive Polycystic Kidney Disease from the Dhofar Region, Oman.

F1000Research
2026

Fibrocystin/polyductin (FPC): new functional insights into ARPKD pathogenesis revealed by informatics, comparative genomics, and model systems.

Pediatric nephrology (Berlin, Germany)
2026

Congenital Hepatic Fibrosis and/or Autosomal Recessive Polycystic Kidney Disease: A Single-center Experience.

Pediatric gastroenterology, hepatology &amp; nutrition
2025

Prenatal Diagnosis and Postnatal Outcomes of Fetal ADPKD: A Single-Center Retrospective Cohort Study.

Medicina (Kaunas, Lithuania)
2026

Clinical characteristics and genotype-phenotype correlation for patients with autosomal recessive polycystic kidney disease and PKHD1 mutations.

Clinical nephrology
2026

Predictors of kidney survival in children with autosomal recessive polycystic kidney disease.

Clinical and experimental nephrology
2026

Open resection of gastroduodenal artery aneurysm with fistulization into the duodenum 17 years after coil embolization in a patient with Caroli disease.

Journal of vascular surgery cases and innovative techniques
2025

Atypical Liver Ultrasound Image in a Boy with Autosomal Recessive Polycystic Kidney Disease (ARPKD) and New PKD1 Variant-A Case Report.

Genes
2025

Case Report: An atypical case of ARPKD highlights the utility and challenges of implementing genetic testing in cystic kidney disease.

Frontiers in pediatrics
2026

Prolonged hypotension in children with bilateral kidney absence: a case series and pathophysiologic insights.

Pediatric nephrology (Berlin, Germany)
2025

Qualitative Analysis and Comparison of Externally Led Patient-Focused Drug Development Concepts for Autosomal Recessive Polycystic Kidney Disease Against SONG Initiatives.

Kidney medicine
2025

A Novel Founder PKHD1 Disease Causing Variant in Israeli Bedouins With Autosomal Recessive Polycystic Kidney Disease.

American journal of kidney diseases : the official journal of the National Kidney Foundation
2025

Prenatal diagnosis and molecular characterization of PKHD1 variants in two Chinese fetuses with Caroli disease/syndrome.

Frontiers in genetics
2025

Determinants of left ventricular mass in children with autosomal recessive polycystic kidney disease.

Journal of nephrology
2026

Identification of PDIA6 Mutation in a Case of Autosomal Recessive Polycystic Kidney Disease: A Case Report and Review of Literature.

Clinical genetics
2026

Health-related quality of life, mental health and caregiver burden in children with autosomal recessive polycystic kidney disease.

Pediatric nephrology (Berlin, Germany)
2025

Long-Term Peritoneal Dialysis Using a Tenckhoff Catheter in a Premature Infant With Homozygous Autosomal Recessive Polycystic Kidney Disease: A Case Report.

Cureus
2025

Intronic and Coding Genetic Variants in Autosomal Recessive Polycystic Kidney Disease Among Israeli Bedouins of Arabian Peninsula Ancestry.

American journal of kidney diseases : the official journal of the National Kidney Foundation
2025

A novel gene therapy for ARPKD based on CFTR.

American journal of physiology. Gastrointestinal and liver physiology
2025

Peritoneal Dialysis Catheters: Review of Neonatal Patient Outcomes.

The Journal of surgical research
2025

Estimating Lifetime Risk of Autosomal Recessive Kidney Diseases Using Population-Based Genotypic Data.

Kidney international reports
2025

Kidney organoids demonstrate that PTH1R drives a cystogenic cAMP-pPKA-pCREB axis in developmental polycystic kidney disease.

American journal of physiology. Renal physiology
2025

Cardiac connections: Effects on the heart as a result of autosomal recessive polycystic kidney disease.

The Journal of physiology
2025

Cholangitis resembling Caroli's syndrome in a patient with autosomal dominant polycystic kidney disease: Case report.

SAGE open medical case reports
2025

A Rare Diagnosis of Caroli Syndrome in a Young Patient.

Clinical case reports
2025

Urinary peptide signature distinguishes autosomal recessive polycystic kidney disease from other causes of chronic kidney disease.

Clinical kidney journal
2025

Pilot study using a discrete mathematical approach for topological analysis and ssGSEA of gene expression in autosomal recessive polycystic kidney disease.

Scientific reports
2025

Bi-allelic UGGT1 variants cause a congenital disorder of glycosylation.

American journal of human genetics
2025

Progress, challenges, and pragmatic concessions in predicting relative risk of kidney survival in ARPKD.

Kidney international
2025

The spectrum of diseases, genetic landscape and new mutation sites of hereditary cystic kidney disease.

Clinical kidney journal
2025

Heart dysfunction in a rat model with autosomal recessive polycystic kidney disease.

The Journal of physiology
2024

Rare Combination of Phenotypes of Karyomegalic Interstitial Nephritis and Autosomal Recessive Polycystic Kidney Disease in an Omani Child.

Oman medical journal
2025

The Role of Angiotensin-II Infusion in an Infant With Autosomal Recessive Polycystic Kidney Disease Postbilateral Nephrectomies and Refractory Hypotension in the Neonatal Period.

Case reports in nephrology
2025

Polycystic Kidney Disease in Children: The Current Status and the Next Horizon.

American journal of kidney diseases : the official journal of the National Kidney Foundation
2025

Therapeutic opportunities in polycystic kidney and liver disease through extracellular matrix dynamics.

Biochemical pharmacology
2025

Electrolyte and metabolite composition of cystic fluid from a rat model of ARPKD.

Communications biology
2025

A risk score to predict kidney survival in patients with autosomal recessive polycystic kidney disease at the age of two months.

Kidney international
2025

Elucidating the Molecular Landscape of Cystic Kidney Disease: Old Friends, New Friends and Some Surprises.

American journal of medical genetics. Part A
2024

An extracellular vesicle based hypothesis for the genesis of the polycystic kidney diseases.

Extracellular vesicle
2025

Hepatopulmonary syndrome from liver disease associated with autosomal recessive polycystic kidney disease.

Pediatric nephrology (Berlin, Germany)
2025

Reduction of elevated Gli3 does not alter the progression of autosomal recessive polycystic kidney disease.

Physiological reports
2025

Urinary Dickkopf-3 Reflects Disease Severity and Predicts Short-Term Kidney Function Decline in Renal Ciliopathies.

Kidney international reports
2024

Gene therapy in polycystic kidney disease: A promising future.

Journal of translational internal medicine
2024

Multimodal Magnetic Resonance Imaging Assessments of Kidney Disease Severity in Autosomal Recessive Polycystic Kidney Disease.

Kidney international reports
2024

Prostatic cyst in autosomal recessive polycystic kidney disease: A case presentation and literature review.

Urology case reports
2024

Short Bowel Syndrome Is Not a Contraindication for Kidney Transplantation.

Pediatric transplantation
2024

Minigene-based splice assays provide new insights on intronic variants of the PKHD1 gene.

Human genomics
2024

Distribution and classifications of PKHD1 gene variants in a Turkish population using the next generation sequencing method.

Turkish journal of medical sciences
2024

Phenotypic Discordance among Siblings with Autosomal Recessive Polycystic Kidney Disease: Case Report and Review of the Literature.

Nephron
2024

Refining the genetic diagnostic puzzle: A case report on a Chinese ARPKD patient with a reciprocal balanced translocation and c.2507 T > C (p.V836A) in PKHD1.

Nephrology (Carlton, Vic.)
2024

A rare cause of echogenic kidneys with oligohydramnios in the fetus: report of two different cases.

BMC pregnancy and childbirth
2024

An infant case of autosomal recessive polycystic kidney disease-associated dilated cardiomyopathy-like hypertensive cardiomyopathy diagnosed because of urinary tract infection.

Cardiology in the young
2024

[Autosomal recessive polycystic kidney disease in a girl].

Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
2024

Primary Cilia Elongation in Early-Onset Polycystic Kidney Disease with 2 Hypomorphic PKD1 Alleles: A Case Report.

Kidney medicine
2024

Novel splice site and nonsense variants in PKHD1 cause autosomal recessive polycystic kidney disease in a Chinese Zhuang ethnic family.

Medicine
2024

Genetic landscape and clinical outcomes of autosomal recessive polycystic kidney disease in Kuwait.

Heliyon
2024

Pathogenic relationship between phenotypes of ARPKD and novel compound heterozygous mutations of PKHD1.

Frontiers in genetics
2024

A case report of autosomal recessive polycystic kidney disease with noncompaction of ventricular myocardium: coincidence or different manifestations of ciliopathy?

BMC nephrology
2024

Next generation sequencing identifies WNT signalling as a significant pathway in Autosomal Recessive Polycystic Kidney Disease (ARPKD) manifestation and may be linked to disease severity.

Biochimica et biophysica acta. Molecular basis of disease
2024

Variable Clinical Presentations and Renal Outcome in Neonates With Autosomal Recessive Polycystic Kidney Disease.

Cureus
2024

Proteogenomics in Nephrology: A New Frontier in Nephrological Research.

Current issues in molecular biology
2024

Protocol for the nationwide registry of patients with polycystic kidney disease: japanese national registry of PKD (JRP).

Clinical and experimental nephrology
2024

Single-Center Experience of Pediatric Cystic Kidney Disease and Literature Review.

Children (Basel, Switzerland)
2024

Clinical manifestation, epidemiology, genetic basis, potential molecular targets, and current treatment of polycystic liver disease.

Orphanet journal of rare diseases
2024

The ARPKD Protein DZIP1L Regulates Ciliary Protein Entry by Modulating the Architecture and Function of Ciliary Transition Fibers.

Advanced science (Weinheim, Baden-Wurttemberg, Germany)
2024

Defects of renal tubular homeostasis and cystogenesis in the Pkhd1 knockout.

iScience
2023

Caroli's Disease Associated with Autosomal Dominant Polycystic Kidney Disease with Acute Pancreatitis: A Case Report.

Middle East journal of digestive diseases
2024

Survival of Infants With Severe Congenital Kidney Disease After ECMO and Kidney Support Therapy.

Pediatrics
2023

Short-Term Outcome of Isolated Kidney Transplantation in Children with Autosomal Recessive Polycystic Kidney Disease: A Case Series and Literature Review.

Clinics and practice
2024

Epidemiology and outcomes of pediatric autosomal recessive polycystic kidney disease in the Middle East and North Africa.

Pediatric nephrology (Berlin, Germany)
2024

The Pathophysiology of Inherited Renal Cystic Diseases.

Genes
2024

A Deep Intronic PKHD1 Variant Identified by SpliceAI in a Deceased Neonate With Autosomal Recessive Polycystic Kidney Disease.

American journal of kidney diseases : the official journal of the National Kidney Foundation
2023

Differential regulation of MYC expression by PKHD1/Pkhd1 in human and mouse kidneys: phenotypic implications for recessive polycystic kidney disease.

Frontiers in cell and developmental biology
2023

Caroli disease with subcutaneous hemorrhage as the sole clinical manifestation: A case report.

Medicine
2023

Autosomal Recessive Polycystic Kidney Disease: Diagnosis, Prognosis, and Management.

Advances in kidney disease and health
2023

Genetic Spectrum of Polycystic Kidney and Liver Diseases and the Resulting Phenotypes.

Advances in kidney disease and health
2024

Combined liver-kidney transplantation in pediatric patients.

Pediatric transplantation
2024

Assessing the potential of DZIP1L gene in autosomal recessive polycystic kidney disease gene therapy.

Pediatric discovery
2023

The genetic spectrum of polycystic kidney disease in children.

Revista da Associacao Medica Brasileira (1992)
2024

The molecular structure and function of fibrocystin, the key gene product implicated in autosomal recessive polycystic kidney disease (ARPKD).

Annals of human genetics
2024

Complications and prognosis of patients diagnosed with autosomal recessive polycystic kidney disease in neonatal period.

CEN case reports
2023

Fibrocystin/Polyductin releases a C-terminal fragment that translocates into mitochondria and suppresses cystogenesis.

Nature communications
2023

Case report: Severe hypertension-induced priapism in an infant with unrecognized autosomal recessive polycystic kidney disease.

Frontiers in pediatrics
2023

Metformin does not slow cyst growth in the PCK rat model of polycystic kidney disease.

Physiological reports
2023

[Research progress on the pathogenesis autosomal recessive polycystic kidney disease].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2023

Pkhd1cyli/cyli mice have altered renal Pkhd1 mRNA processing and hormonally sensitive liver disease.

Journal of molecular medicine (Berlin, Germany)
2023

Vascular Dysfunction in Polycystic Kidney Disease: A Mini-Review.

Journal of vascular research
2023

A novel PKHD1 splicing variant identified in a fetus with autosomal recessive polycystic kidney disease.

Frontiers in genetics
2023

Clinical Characteristics and Courses of Patients With Autosomal Recessive Polycystic Kidney Disease-Mimicking Phenocopies.

Kidney international reports
2023

Cystin is required for maintaining fibrocystin (FPC) levels and safeguarding proteome integrity in mouse renal epithelial cells: A mechanistic connection between the kidney defects in cpk mice and human ARPKD.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology
2023

Renal ciliopathies: promising drug targets and prospects for clinical trials.

Expert opinion on therapeutic targets
2023

Cystic Diseases of the Kidneys: From Bench to Bedside.

Indian journal of nephrology
2023

Shift from severe hypotension to salt-dependent hypertension in a child with autosomal recessive polycystic kidney disease after bilateral nephrectomies: a case report.

BMC nephrology
2023

Autosomal dominant and autosomal recessive polycystic kidney disease: hypertension and secondary cardiovascular effect in children.

Frontiers in molecular biosciences
2023

AN 84-YEAR-OLD PATIENT WITH CAROLI SYNDROME: WHAT IS THE PROGNOSIS OF THIS CONDITION?

European journal of case reports in internal medicine
2023

TRPV4 functional status in cystic cells regulates cystogenesis in autosomal recessive polycystic kidney disease during variations in dietary potassium.

Physiological reports
2023

Genetic autopsy and genetic counseling for a case of fatal oligohydramnios due to de novo 17q12 deletion syndrome.

The journal of obstetrics and gynaecology research
2023

Ameliorating liver disease in an autosomal recessive polycystic kidney disease mouse model.

American journal of physiology. Gastrointestinal and liver physiology
2023

Compound heterozygosity of a de novo submicroscopic deletion and an inherited frameshift pathogenic variant in the PKHD1 gene in a fetus with bilaterally enlarged and echogenic kidneys, enlarged abdomen and oligohydramnios.

Clinical case reports
2023

A Potential Therapy Using Antisense Oligonucleotides to Treat Autosomal Recessive Polycystic Kidney Disease.

Journal of clinical medicine
2023

Accuracy and processing time of kidney volume measurement methods in rodents polycystic kidney disease models: superiority of semiautomated kidney segmentation.

American journal of physiology. Renal physiology
2023

Design of two ongoing clinical trials of tolvaptan in the treatment of pediatric patients with autosomal recessive polycystic kidney disease.

BMC nephrology
2023

Phosphomannomutase 2 (PMM2) variants leading to hyperinsulinism-polycystic kidney disease are associated with early-onset inflammatory bowel disease and gastric antral foveolar hyperplasia.

Human genetics
2023

Whole-Exome Sequencing Revealed the Mutational Profiles of Primary Central Nervous System Lymphoma.

Clinical lymphoma, myeloma &amp; leukemia
2023

Global Transcriptomics of Congenital Hepatic Fibrosis in Autosomal Recessive Polycystic Kidney Disease using PCK rats.

bioRxiv : the preprint server for biology
2022

Transcription factor Ap2b regulates the mouse autosomal recessive polycystic kidney disease genes, Pkhd1 and Cys1.

Frontiers in molecular biosciences
2023

Polycystic Kidney Disease Drug Development: A Conference Report.

Kidney medicine
2023

Predominant Liver Cystic Disease in a New Heterozygotic PKHD1 Variant: A Case Report.

The American journal of case reports
2023

Review of the Use of Animal Models of Human Polycystic Kidney Disease for the Evaluation of Experimental Therapeutic Modalities.

Journal of clinical medicine
2024

The Clinical and Mutational Spectrum of 69 Turkish Children with Autosomal Recessive or Autosomal Dominant Polycystic Kidney Disease: A Multicenter Retrospective Cohort Study.

Nephron
2024

Suspected Autosomal Recessive Polycystic Kidney Disease but Cerebellar Vermis Hypoplasia, Oligophrenia Ataxia, Coloboma, and Hepatic Fibrosis (COACH) Syndrome in Retrospect, A Delayed Diagnosis Aided by Genotyping and Reverse Phenotyping: A Case Report and A Review of the Literature.

Nephron
2023

Kidney concentrating capacity in children with autosomal recessive polycystic kidney disease is linked to glomerular filtration and hypertension.

Pediatric nephrology (Berlin, Germany)
2023

INDIAMAN-20 (INstant DIAgnosis of 20 Major ANomalies) protocol: application of IOTA diagnostic strategy to fetal anomalies.

Ultrasound in obstetrics &amp; gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
2022

Identification and Characterization of Novel Mutations in Chronic Kidney Disease (CKD) and Autosomal Dominant Polycystic Kidney Disease (ADPKD) in Saudi Subjects by Whole-Exome Sequencing.

Medicina (Kaunas, Lithuania)
2022

Hyperinsulinemic Hypoglycemia Due to PMM2 Mutation in Two Siblings with Autosomal Recessive Polycystic Kidney Disease.

Pediatric reports
2022

Cystic Kidney Diseases That Require a Differential Diagnosis from Autosomal Dominant Polycystic Kidney Disease (ADPKD).

Journal of clinical medicine
2022

Modulation of P2X4 receptor activity by ivermectin and 5-BDBD has no effect on the development of ARPKD in PCK rats.

Physiological reports
2022

Two cases of fetal hyperechogenic kidneys who had HNF1-β gene variation.

Clinical nephrology
2022

Temporal Profile of Kynurenine Pathway Metabolites in a Rodent Model of Autosomal Recessive Polycystic Kidney Disease.

International journal of tryptophan research : IJTR
2023

Prenatal ultrasound in fetuses with polycystic kidney appearance - expanding the diagnostic algorithm.

Archives of gynecology and obstetrics
2022

[Clinical characteristics and genetic analysis of a child with autosomal recessive polycystic kidney disease].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2022

Organoid-on-a-chip model of human ARPKD reveals mechanosensing pathomechanisms for drug discovery.

Science advances
2022

Perspectives on Drug Development in Autosomal Recessive Polycystic Kidney Disease.

Clinical journal of the American Society of Nephrology : CJASN
2022

Molecular Diagnostics of Ciliopathies and Insights Into Novel Developments in Diagnosing Rare Diseases.

British journal of biomedical science
2023

Evaluation of galectin-3 and intestinal fatty acid binding protein as serum biomarkers in autosomal recessive polycystic kidney disease.

Journal of nephrology
2022

Caroli's syndrome with autosomal recessive polycystic kidney disease on fetal MRI: A case report.

Congenital anomalies
2022

The Enigma of Clinical Heterogeneity Among Autosomal Recessive Polycystic Kidney Disease Siblings: PKHD1 Genotype Versus Other Genomic or Environmental Modifier.

Kidney international reports
2022

Phenotypic Variability in Siblings With Autosomal Recessive Polycystic Kidney Disease.

Kidney international reports
2022

Patient Selection for Renal Denervation in Hypertensive Patients: What Makes a Good Candidate?

Vascular health and risk management
2022

Genetics, pathobiology and therapeutic opportunities of polycystic liver disease.

Nature reviews. Gastroenterology &amp; hepatology
2022

Contributions of afferent and sympathetic renal nerves to cystogenesis and arterial pressure regulation in a preclinical model of autosomal recessive polycystic kidney disease.

American journal of physiology. Renal physiology
2022

Generation of induced pluripotent stem cells from peripheral blood mononuclear cells obtained from an adult with autosomal recessive polycystic kidney disease.

Stem cell research
2022

Primary URECs: a source to better understand the pathology of renal tubular epithelia in pediatric hereditary cystic kidney diseases.

Orphanet journal of rare diseases
2022

Detection of DZIP1L mutations by whole-exome sequencing in consanguineous families with polycystic kidney disease.

Pediatric nephrology (Berlin, Germany)
2022

Ambulatory blood pressure and hypertension control in children with autosomal recessive polycystic kidney disease: clinical experience from two central European tertiary centres.

Journal of hypertension
2022

The genetics of Autosomal Recessive Polycystic Kidney Disease (ARPKD).

Biochimica et biophysica acta. Molecular basis of disease
2022

Targeted next-generation sequencing in a large series of fetuses with severe renal diseases.

Human mutation
2021

Mosaic PKHD1 in Polycystic Kidneys Caused Aberrant Protein Expression in the Mitochondria and Lysosomes.

Frontiers in medicine
2021

Early childhood height-adjusted total kidney volume as a risk marker of kidney survival in ARPKD.

Scientific reports
2021

Generation of an induced pluripotent stem cell line (DHMCi006-A) from a patient with autosomal recessive polycystic kidney disease (ARPKD) carrying a compound heterozygous missense mutation in the fibrocystin encoding PKHD1 gene.

Stem cell research
2021

Generation of an induced pluripotent stem cell line (DHMCi007-A) from a patient with autosomal recessive polycystic kidney disease (ARPKD) carrying a homozygous missense mutation in the fibrocystin-encoding PKHD1 gene.

Stem cell research
2021

A human multi-lineage hepatic organoid model for liver fibrosis.

Nature communications
2021

Clinical characteristics of Slovenian pediatric patients with autosomal recessive polycystic kidney disease.

Clinical nephrology
2022

Can the Enhanced Liver Fibrosis Score Be Used to Diagnose Children With Liver Fibrosis?

Journal of pediatric gastroenterology and nutrition
2021

Autophagy-mediated reduction of miR-345 contributes to hepatic cystogenesis in polycystic liver disease.

JHEP reports : innovation in hepatology
2022

Clinical features of autosomal recessive polycystic kidney disease in the Japanese population and analysis of splicing in PKHD1 gene for determination of phenotypes.

Clinical and experimental nephrology
2021

Cystin genetic variants cause autosomal recessive polycystic kidney disease associated with altered Myc expression.

Scientific reports
2021

Autosomal recessive polycystic kidney disease.

American journal of obstetrics and gynecology
2022

Differential Diagnosis and Prognosis of Fetuses with Bilateral Enlarged, Hyperechogenic Kidneys: Renal Volume and Amniotic Fluid Volume with Advancing Gestation.

Zeitschrift fur Geburtshilfe und Neonatologie
2021

[Clinical feature and genetic analysis of a fetus with autosomal recessive polycystic kidney disease].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2021

Systematic review on outcomes used in clinical research on autosomal recessive polycystic kidney disease-are patient-centered outcomes our blind spot?

Pediatric nephrology (Berlin, Germany)
2021

Therapeutic Potential for CFTR Correctors in Autosomal Recessive Polycystic Kidney Disease.

Cellular and molecular gastroenterology and hepatology
2021

Molecular Pathophysiology of Autosomal Recessive Polycystic Kidney Disease.

International journal of molecular sciences
2021

Two-dimensional (2D) morphologic measurements can quantify the severity of liver disease in children with autosomal recessive polycystic kidney disease (ARPKD).

Abdominal radiology (New York)
2021

Rapid B1-Insensitive MR Fingerprinting for Quantitative Kidney Imaging.

Radiology
2021

[Diagnosis of a case of autosomal recessive polycystic kidney disease with combined prenatal imaging and genetic testing].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2021

Infant presenting with pyloric stenosis and autosomal recessive polycystic kidney disease at 36 weeks' postmenstrual age (PMA).

BMJ case reports
2021

Congenital hepatic fibrosis: case report and review of literature.

The Pan African medical journal
2021

Risk factors for post-nephrectomy hypotension in pediatric patients.

Pediatric nephrology (Berlin, Germany)
2021

A case of 17q12 deletion syndrome that presented antenatally with markedly enlarged kidneys and clinically mimicked autosomal recessive polycystic kidney disease.

CEN case reports
2021

Refining genotype-phenotype correlations in 304 patients with autosomal recessive polycystic kidney disease and PKHD1 gene variants.

Kidney international
2021

Imaging manifestations of Caroli disease with autosomal recessive polycystic kidney disease: a case report and literature review.

BMC pregnancy and childbirth
2020

Loss of Cilia Does Not Slow Liver Disease Progression in Mouse Models of Autosomal Recessive Polycystic Kidney Disease.

Kidney360
2021

Fibrocystic liver disease: novel concepts and translational perspectives.

Translational gastroenterology and hepatology
2021

Identification of PKHD1 mutations in Brain, Breast and Rectal tumors by Next Generation DNA Sequencing.

The Gulf journal of oncology
2021

Early clinical management of autosomal recessive polycystic kidney disease.

Pediatric nephrology (Berlin, Germany)
2021

Polycystic liver disease genes: Practical considerations for genetic testing.

European journal of medical genetics
2020

Adult Inactivation of the Recessive Polycystic Kidney Disease Gene Causes Polycystic Liver Disease.

Kidney360
2021

Autosomal Recessive Polycystic Kidney Disease-The Clinical Aspects and Diagnostic Challenges.

Journal of pediatric genetics
2021

Predictors of progression in autosomal dominant and autosomal recessive polycystic kidney disease.

Pediatric nephrology (Berlin, Germany)
2021

Multiple Cerebral Aneurysms in an Adult With Autosomal Recessive Polycystic Kidney Disease.

Kidney international reports
2021

Diagnosis and Management of Renal Cystic Disease of the Newborn: Core Curriculum 2021.

American journal of kidney diseases : the official journal of the National Kidney Foundation
2021

Reverse Phenotyping Maternal Cystic Kidney Disease by Diagnosis in a Newborn: Case Report and Literature Review on Neonatal Cystic Kidney Diseases.

Acta medica Lituanica
2021

Plasticity of distal nephron epithelia from human kidney organoids enables the induction of ureteric tip and stalk.

Cell stem cell
2021

[Infantile arterial hypertension: A diagnostic challenge in paediatrics].

Anales de pediatria
2020

Exploring the Spectrum of Kidney Ciliopathies.

Diagnostics (Basel, Switzerland)
2021

Etiologies and outcomes of prenatally diagnosed hyperechogenic kidneys.

Prenatal diagnosis
2020

Occurrence of Portal Hypertension and Its Clinical Course in Patients With Molecularly Confirmed Autosomal Recessive Polycystic Kidney Disease (ARPKD).

Frontiers in pediatrics
2020

Caroli's Syndrome: An Early Presentation.

Cureus
2022

Intrahepatic bile ductal ectasia in autosomal recessive polycystic kidney disease evaluated by fetal magnetic resonance imaging: a more frequent complication.

The journal of maternal-fetal &amp; neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
2021

Long-term kidney and liver outcome in 50 children with autosomal recessive polycystic kidney disease.

Pediatric nephrology (Berlin, Germany)
2020

Combined liver and kidney transplantation in children and long-term outcome.

World journal of transplantation
2020

Prevalence, risk factors and disease knowledge of polycystic kidney disease in Pakistan.

International journal of immunopathology and pharmacology
2020

Possible PKHD1 Hot-spot Mutations Related to Early Kidney Function Failure or Hepatofibrosis in Chinese Children with ARPKD: A Retrospective Single Center Cohort Study and Literature Review.

Current medical science
2020

The carboxy-terminus of the human ARPKD protein fibrocystin can control STAT3 signalling by regulating SRC-activation.

Journal of cellular and molecular medicine
2020

Autosomal recessive polycystic kidney disease: case report of a newborn with rare PKHD1 mutation, rapid renal enlargement and early fatal outcome.

Italian journal of pediatrics
2020

Use of patient derived urine renal epithelial cells to confirm pathogenicity of PKHD1 alleles.

BMC nephrology
2020

Collecting duct cells show differential retinoic acid responses to acute versus chronic kidney injury stimuli.

Scientific reports
2020

Severe neurological outcomes after very early bilateral nephrectomies in patients with autosomal recessive polycystic kidney disease (ARPKD).

Scientific reports
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Doenças relacionadas

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Deciphering the Impact of RAC1-SPTAN1 in ARPKD Cystogenesis Using Multifaceted Models.
    Advanced science (Weinheim, Baden-Wurttemberg, Germany)· 2026· PMID 41742835mais citado
  2. Congenital Hepatic Fibrosis and/or Autosomal Recessive Polycystic Kidney Disease: A Single-center Experience.
    Pediatric gastroenterology, hepatology &amp; nutrition· 2026· PMID 41567255mais citado
  3. Identification of PDIA6 Mutation in a Case of Autosomal Recessive Polycystic Kidney Disease: A Case Report and Review of Literature.
    Clinical genetics· 2026· PMID 40974269mais citado
  4. Advances in pediatric kidney diffusion tensor imaging: diagnostic and functional applications.
    Pediatric radiology· 2026· PMID 41824047mais citado
  5. Caroli disease associated with autosomal recessive polycystic kidney disease: CT imaging features of a case report.
    Radiology case reports· 2026· PMID 41798673mais citado
  6. [Research advances in the diagnosis and treatment of Polycystic kidney disease].
    Zhonghua Yi Xue Yi Chuan Xue Za Zhi· 2026· PMID 41916891recente
  7. Pegcetacoplan-induced remission in pediatric immune-complex membranoproliferative glomerulonephritis with comorbid autosomal recessive polycystic kidney disease: a case report.
    Front Med (Lausanne)· 2026· PMID 41884136recente
  8. Monogenic Etiologies of Kidney Cysts in the Pediatric Population: An Observational Cohort Study.
    Clin J Am Soc Nephrol· 2026· PMID 41790507recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:731(Orphanet)
  2. MONDO:0009889(MONDO)
  3. GARD:8378(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Q3395618(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Doença renal policística autossômica recessiva
Compêndio · Raras BR

Doença renal policística autossômica recessiva

ORPHA:731 · MONDO:0009889
Prevalência
Unknown
Herança
Autosomal recessive
CID-10
Q61.1 · Rim policístico, autossômico recessivo
CID-11
Ensaios
6 ativos
Medicamentos
1 registrados
Início
All ages
Prevalência
0.0 (Europe)
MedGen
UMLS
C0085548
EuropePMC
Wikidata
Papers 10a
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