About Autosomal Recessive Polycystic Kidney Disease

What is Autosomal Recessive Polycystic Kidney Disease?

Autosomal Recessive Polycystic Kidney Disease (ARPKD) is a rare genetic disorder that affects the kidneys and liver. It is caused by a mutation in the PKHD1 gene, which is responsible for the production of a protein called fibrocystin. This protein helps regulate the growth and development of the kidneys and liver. People with ARPKD typically have multiple cysts in their kidneys and liver, which can lead to kidney failure and other complications. Treatment for ARPKD is focused on managing symptoms and preventing complications.

What are the symptoms of Autosomal Recessive Polycystic Kidney Disease?

The most common symptoms of Autosomal Recessive Polycystic Kidney Disease (ARPKD) include:

-High blood pressure
-Abdominal pain
-Frequent urination
-Blood in the urine
-Kidney enlargement
-Kidney failure
-Liver cysts
-Liver enlargement
-Liver failure
-Developmental delays
-Growth retardation
-Breathing difficulties
-Fluid in the abdomen
-Enlarged spleen
-Enlarged heart
-Abnormal heart rhythms
-Kidney stones
-Urinary tract infections

What are the causes of Autosomal Recessive Polycystic Kidney Disease?

Autosomal Recessive Polycystic Kidney Disease (ARPKD) is caused by mutations in the PKHD1 gene. This gene provides instructions for making a protein called fibrocystin, which is involved in the development and maintenance of the kidneys and other organs. Mutations in the PKHD1 gene lead to the production of an abnormal or nonfunctional version of the fibrocystin protein, which disrupts the normal development and functioning of the kidneys and other organs.

What are the treatments for Autosomal Recessive Polycystic Kidney Disease?

1. Medications: ACE inhibitors, angiotensin receptor blockers, diuretics, and calcium channel blockers can be used to help control blood pressure and reduce the risk of complications.

2. Dialysis: Dialysis may be necessary if kidney function is severely impaired.

3. Kidney transplant: A kidney transplant may be necessary if kidney function is severely impaired and dialysis is not an option.

4. Surgery: Surgery may be necessary to remove cysts or to repair damaged kidneys.

5. Dietary changes: A low-sodium, low-protein diet may help reduce the risk of complications.

6. Lifestyle changes: Regular exercise, quitting smoking, and reducing stress can help reduce the risk of complications.

What are the risk factors for Autosomal Recessive Polycystic Kidney Disease?

1. Family history: Having a parent or sibling with ARPKD increases the risk of developing the condition.

2. Genetic mutations: Mutations in the PKHD1 gene are responsible for ARPKD.

3. Ethnicity: ARPKD is more common in people of Ashkenazi Jewish descent.

4. Age: ARPKD is usually diagnosed in infancy or early childhood.

Is there a cure/medications for Autosomal Recessive Polycystic Kidney Disease?

At this time, there is no cure for Autosomal Recessive Polycystic Kidney Disease (ARPKD). However, medications can be used to help manage the symptoms and slow the progression of the disease. These medications include diuretics, ACE inhibitors, and angiotensin receptor blockers. Additionally, lifestyle modifications such as a low-sodium diet, regular exercise, and quitting smoking can help to reduce the risk of complications associated with ARPKD.