Satomura K, Michigami T, Yamamoto K, Hosokawa S
Department of Pediatrics, Osaka Medical Center and Research Institute for Maternal and Child Health, Japan.
Nihon Jinzo Gakkai Shi. 1998 Nov;40(8):602-6.
We report a rare case of glomerulocystic kidney disease (GCKD) with congenital hypothyroidism. A gigantic abdominal mass was noted at birth. There was no family history of renal cystic disease. Ultrasonography revealed diffuse granular cysts in the markedly enlarged kidneys. Blood examination showed moderate renal failure and hypothyroidism. Bilateral nephrectomy was conducted at 47 days of age to relieve respiratory failure and severe abdominal distention caused by the growing cystic kidneys. Histological findings of the kidney showed numerous glomerular cysts without renal dysplasia. There were no other malformations. These findings were compatible with GCKD.
我们报告了一例罕见的肾小球囊性肾病(GCKD)合并先天性甲状腺功能减退症的病例。患儿出生时发现巨大腹部肿块。无肾囊性疾病家族史。超声检查显示明显增大的双肾内弥漫性颗粒状囊肿。血液检查显示中度肾衰竭和甲状腺功能减退。患儿47日龄时接受双侧肾切除术,以缓解因不断增大的多囊肾导致的呼吸衰竭和严重腹胀。肾脏组织学检查发现大量肾小球囊肿,无肾发育异常。无其他畸形。这些发现符合肾小球囊性肾病。