Medullary Cystic Kidney Disease

Autosomal dominant kidney disorder characterized by tubulointerstitial sclerosis leading to end-stage renal disease

Aetiology

  • Rare inherited cystic disease - autosomal dominant
  • Presents average age 28 years

Pathophysiology

  • Morphologically abnomal renal tubules leading to fibrosis
  • Cysts are mainly in the corticomedullary junction/medulla

Clinical presentation

  • Slow loss of kidney function
  • Polydipsia
  • Enuresis
  • Pruritus
  • Pallor
  • Nausea

Investigations

  • Family history
  • CT scan

Management

  • Renal transplantation/dialysis once reach severe CKD