Feiner H D, Katz L A, Gallo G R
Urology. 1981 Mar;17(3):260-4. doi: 10.1016/0090-4295(81)90044-3.
Eight cases of acquired cystic disease of the kidney (ACDK) associated with chronic renal failure and hemodialysis are described. No patient had a family history or clinical evidence of congenital adult polycystic kidney disease (CAPKD). Glomerulonephritis was the cause of renal failure in 6, and pyelonephritis in 2. Massive renal and perirenal hemorrhage necessitated 3 nephrectomies in 2 patients. Single kidney weights did not exceed 280 Gm., a major feature in the distinction of ACDK from CAPKD. Morphologically, in addition to the usual stigmata of end-stage kidneys, 40 to 80 per cent of the renal parenchyma was replaced by small cysts. Continuity of cysts with tubules was established by nephron dissection.
本文描述了8例与慢性肾衰竭及血液透析相关的获得性肾囊肿病（ACDK）。所有患者均无先天性成人多囊肾病（CAPKD）的家族史或临床证据。6例患者肾衰竭的病因是肾小球肾炎，2例是肾盂肾炎。2例患者因严重肾及肾周出血而进行了3次肾切除术。单肾重量不超过280克，这是ACDK与CAPKD鉴别的一个主要特征。形态学上，除了终末期肾脏的常见特征外，40%至80%的肾实质被小囊肿取代。通过肾单位解剖确定了囊肿与肾小管的连续性。
