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Urinary tract infections, VUR, and autosomal dominant polycystic kidney disease

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Abstract

This case series of 16 patients with autosomal dominant polycystic kidney disease (ADPKD) describes 4 girls who presented with a urinary tract infection (UTI). Radiological evaluation revealed that each of these patients had vesicoureteral reflux (VUR). The frequency of VUR was significantly higher in the patients with ADPKD compared with otherwise healthy age-matched children who underwent testing after a UTI (100% versus 15%, P<0.002). These findings suggest VUR is an associated somatic anomaly in children with ADPKD that may contribute to the occurrence of UTI in this patient population.

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References

  1. Igarashi P, Somlo S (2002) Genetics and pathogenesis of cystic kidney disease. J Am Soc Nephrol 13:284–298

    Google Scholar 

  2. Grantham JJ, Nair V, Winklhofer F (2000) Cystic diseases of the kidney. In: Brenner BM (ed) The kidney, vol II, 6th edn. Saunders, Philadelphia, pp 1699–1710

  3. Fick-Brosnahan GM, Tran ZV, Johnson AM, Strain JD, Gabow PA (2001) Progression of autosomal-dominant polycystic kidney disease in children. Kidney Int 59:1654–1662

    Article  CAS  PubMed  Google Scholar 

  4. Gabow PA, Kimberling WJ, Strain JD, Manco-Johnson ML, Johnson AM (1997) Utility of ultrasonography in the diagnosis of autosomal dominant polycystic kidney disease in children. J Am Soc Nephrol 8:105–110

    CAS  PubMed  Google Scholar 

  5. Ravine D, Gibson RN, Walker RG, Sheffield LJ, Kincaid-Smith P, Danks DM (1994) Evaluation of ultrasonographic diagnostic criteria for autosomal dominant polycystic kidney disease 1. Lancet 343:824–827

    CAS  PubMed  Google Scholar 

  6. Zerres K, Mucher G, Bachner L, Deschennes G, Eggermann T, Kaariainen H, Knapp M, Lennert T, Misselwitz J, Von Muhlendahl KE, Neumann HPH, Pirson Y, Rudnik-Schoneborn S, Steinbicker V, Wirth B, Scharer K (1994) Mapping of the gene for autosomal recessive polycystic kidney disease (ARPKD) to chromosome 6p21-cen. Nat Genet 7:429–432

    CAS  PubMed  Google Scholar 

  7. Decter RM (2001) Vesicoureteral reflux. Pediatr Rev 22:205–210

    CAS  PubMed  Google Scholar 

  8. Griffin MD, Torres VE, Grande JP, Kumar R (1997) Vascular expression of polycystin. J Am Soc Nephrol 8:616–626

    CAS  PubMed  Google Scholar 

  9. Wilson PD (2001) Polycystin: new aspects of structure, function, and regulation. J Am Soc Nephrol 12:834–845

    CAS  PubMed  Google Scholar 

  10. Malhas AN (2002) Interaction of the leucine-rich repeats of polycystin-1 with extracellular matrix proteins: possible role in cell proliferation. J Am Soc Nephrol 13:19–26

    CAS  PubMed  Google Scholar 

Download references

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Correspondence to Howard Trachtman.

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Koslowe, O., Frank, R., Gauthier, B. et al. Urinary tract infections, VUR, and autosomal dominant polycystic kidney disease. Pediatr Nephrol 18, 823–825 (2003). https://doi.org/10.1007/s00467-003-1211-4

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  • DOI: https://doi.org/10.1007/s00467-003-1211-4

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