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Abstract
A 31-year-old patient with tuberous sclerosis and severe chronic renal failure is
described. At autopsy the kidneys demonstrated macroscopic cysts. Both chronic renal
failure and renal cysts have been only rarely reported in association with tuberous
sclerosis. This case and a review of the literature suggest that in patients with
tuberous sclerosis, chronic renal failure is much more likely when renal cystic changes
are present (with or without hamartomas) than when renal hamartomas are present alone.