Medullary sponge kidney
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Medullary sponge kidney | |
|---|---|
| |
| Synonyms | Cacchi–Ricci disease |
| Pronounce | |
| Specialty | Nephrology |
| Symptoms | Hematuria, urinary tract infection, kidney stones |
| Complications | Chronic kidney disease |
| Onset | Congenital, often diagnosed in adulthood |
| Duration | Lifelong |
| Types | N/A |
| Causes | Congenital disorder |
| Risks | |
| Diagnosis | Intravenous pyelogram, CT scan, ultrasound |
| Differential diagnosis | Polycystic kidney disease, nephrocalcinosis |
| Prevention | N/A |
| Treatment | Hydration, pain management, antibiotics for infections |
| Medication | |
| Prognosis | Generally good with management |
| Frequency | 1 in 5,000 to 20,000 people |
| Deaths | Rare |
Medullary Sponge Kidney (also known as Cacchi-Ricci disease) is a congenital disorder of the kidneys characterized by cystic dilatation of the collecting tubules in one or both kidneys.
Signs and Symptoms
Individuals with Medullary Sponge Kidney often present with hematuria (blood in the urine), nephrolithiasis (kidney stones), and nephrocalcinosis (calcium deposits in the kidneys). Other symptoms may include recurrent urinary tract infections and flank pain.
Causes
The exact cause of Medullary Sponge Kidney is unknown. However, it is believed to be congenital (present at birth). Some studies suggest a possible genetic link, but more research is needed to confirm this.
Diagnosis
Diagnosis of Medullary Sponge Kidney is often made through imaging studies such as ultrasound, computed tomography (CT) scan, or intravenous pyelogram (IVP). These tests can reveal the characteristic appearance of cystic dilatation in the kidneys.
Treatment
Treatment for Medullary Sponge Kidney is primarily aimed at managing symptoms and preventing complications. This may include measures to prevent kidney stones, such as increasing fluid intake, dietary modifications, and medications. In some cases, surgical intervention may be necessary to remove large kidney stones.
Prognosis
The prognosis for individuals with Medullary Sponge Kidney is generally good. While the condition can cause discomfort and complications such as kidney stones, it does not typically affect kidney function or lead to kidney failure.
See Also
References
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Contributors: Prab R. Tumpati, MD
