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      Dialysis-Associated Renal Cystic Disease Resembling Autosomal Dominant Polycystic Kidney Disease: A Report of Two Cases

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          Acquired renal cystic disease is common in patients receiving dialysis. Characteristically, the kidneys are small or, less often, normal in size, and the cysts are usually less than 0.6 cm in diameter. We present here 2 patients who, after 5 and 7 years on hemodialysis, developed marked renal enlargement, with large cysts in the kidneys and, in 1 patient, in the liver as well; the appearance on ultrasonography and computed tomography was indistinguishable from autosomal dominant polycystic kidney disease. Before starting dialysis the first patient was a 19-year-old man who developed renal shutdown from crescentic glomerulonephritis, and the second patient was a 33-year-old man who developed end-stage renal failure from malignant hypertension. Neither patient had renal cysts at the onset of end-stage renal failure.

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          Author and article information

          Am J Nephrol
          American Journal of Nephrology
          S. Karger AG
          August 1999
          13 August 1999
          : 19
          : 4
          : 519-522
          Division of aNephrology and bPathology, Cook County Hospital, cUniversity of Illinois College of Medicine at Chicago, and dHektoen Institute for Medical Research, Chicago, Ill., USA
          13510 Am J Nephrol 1999;19:519–522
          © 1999 S. Karger AG, Basel

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          Figures: 3, References: 12, Pages: 4
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