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Medullary Sponge Kidney (MSK) Updated 4/2010

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • Pathophysiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Surgery

Ongoing Care

  • Prognosis
  • Complications
  • Follow-Up Recommendations
The following is an excerpt....
BASICS
Description

MSK is characterized by ectatic or dilated collecting ducts and associated cysts and diverticulas that give the appearance of a paint brush on IVU.

Epidemiology
  • Identified in 1 in 200 IVUs
  • Estimated at 1 in 5,000–1 in 20,000 in the general population
  • Among stone formers, the incidence of MSK is 12–21%, with a female predilection. (1)[B]
Risk Factors
Genetics

Most cases occur sporadically:

  • Few cases of autosomal dominant or autosomal recessive inheritance
  • Has been reported in association with hemihypertrophy, Beckwith-Wiedemann syndrome, Ehlers-Danlos syndrome
Pathophysiology
  • Dilated collecting ducts and small cysts
  • Dilated ducts and cysts may be filled with calcium apatite
  • No associated cysts in other organs
Associated Conditions
  • Renal calculi
  • UTI ...

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See Also
Images >
Fig CA 18-3 Renovascular hypertension. String-of-beads pattern of fibromuscular dysplasia bilaterally.Credit: Ronald L. Eisenberg, an atlas of differential diagnosis Fourth Edition. Philadelphia: Lippincott Williams & Wilkins, 2003.