2015年5月18日星期一

Polycystic Kidney Disease and Breathing Issues

Polycystic Kidney Disease is an inherited condition that results in ongoing kidney damage related to cysts occupying the kidneys. The disease has two basic forms: ARPKD and ADPKD. Will PKD cause breathing issues in people with the disease?

People with PKD have malformed, enlarged kidneys which are filled with cysts containing "urine-like" fluid instead of normal renal tissue. Over time, kidney failure may be caused.

What causes breathing issues in PKD?

▪ ARPKD is a relatively rare disease, diagnosed in 1 out of 20, 000 newborns. The disease often affects the infant even before birth. On prenatal sonograms, we can detect decreased about of amniotic fluid due to decline of renal function and enlarged kidney. Sometimes, these problems cause abnormal lung development, resulting in immediate, life-threatening breathing problems at birth.

▪ The abnormal gene that causes ADPKD presents at birth, but the disease often begin to show symptoms until patients reach the age of 30~40. Patients may also develop cysts in the kidneys, liver and pancreas. In this case, the presence of breathing issues usually indicate the the disease has progress to advanced stages.

Besides, ADPKD causes big kidneys that stretch the abdomen and chronic kidney disease damage, leading to the problems that include:

Fatigue, nausea and vomiting, loss of appetite, itching, high BUN and creatinine, pain around the kidneys or in the flank, hematuria (blood in the urine), anemia, high blood pressure, kidney infection, kidney stones, etc.

In western medicine, PKD cannot be cured or reversed, and treatment is targeted at relieving the problems. These symptomatic treatments include medications, surgery, dialysis, kidney transplant, etc. Under these therapies, the curative effects are often not satisfactory.


In order to eliminate the problems caused by PKD like breathing issues, the key points of treatment should focus on shrinking the cysts enlargement, reducing oppression to renal tissues, and recovering the kidney function. By doing this, we can stop the progression of the disease.

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