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renal agenesis

Definition: Complete absence of one or both kidneys. Renal agenesis is thought to result from a lack of induction of the metanephric blastema by the ureteral bud.

Types

- bilateral renal agenesis (1/4500 births)
- unilateral renal agenesis

Synopsis

- autosomal dominant transmission
- complete absence of one or both kidneys
- usually, absence of corresponding uretere and trigona area of the bladder
- short stump od distal ureter possible

Variants

- isolated or associated (1/1000 births)

Association (unilateral renal agenesis)

- renal non-obstructive cystic dysplasia (renal adysplasia)

- Wolffian malformations

  • cysts of the epididymis
  • cysts of the seminal vesicle
  • agenesis of vas deferens
  • cystic dysplasia of testis
  • cystic dysplasia of rete testis
  • ectopia of vas deferens

- mullerian malformations

  • ipsilateral absence of fallopian tube
  • unicornuate and bicornuate uterus
  • bifid uterus (bicornuate uterus)
  • uterus didelphys
  • total mullerian aplasia
  • vaginal atresia (Rokitansky-Kuster-Hauser syndrome) (with uterine agenesis) (#8462192#, #3591829#)

- urorectal septum malformation sequence (ambiguous genitalia with absence of perineal and anal openings)

- association cloacal exstrophy, exomphalos, renal agenesis, ambiguous external genitalia, axial hypotonia withg 9q34.1-qter deletion (#15054847#)
- familial medullary thyroid carcinoma (FMTC) (RET mutation) (#11454140#, #10777380#)
- Di george syndrome
- focal and segmental glomeruosclerosis
- association of cystic adenomatoid malformation (CCAM type 2 or CPAM) and left heart hypoplasia
- penile agenesis
- cat eye syndrome (partial terasomy 22)
- 47,XXX (#2669483#)

Etiology

- RET mutations (#11454140#, #18252215#)

See also

- renal malformations

  • renal adysplasia

References

- Skinner MA, Safford SD, Reeves JG, Jackson ME, Freemerman AJ. Renal aplasia in humans is associated with RET mutations. Am J Hum Genet. 2008 Feb;82(2):344-51. PMID: #18252215#