AI Article Synopsis
- - Our study examines unique ultrasound (US) patterns of a rare kidney disease, medullary sponge kidney (MSK), comparing them to other causes of similar kidney appearances and looking at how these patterns relate to disease severity and prognosis.
- - Over six years, we analyzed US images from 10 patients with MSK, identifying two distinct patterns: a "daisy-like" appearance indicating a more benign condition, and an "atypical daisy-like" pattern associated with severe complications like nephrocalcinosis and chronic kidney disease.
- - The findings suggest that a homogenous echogenicity (the daisy-like pattern) is linked to a favorable outcome, while inhomogeneous echogenicity signals a more serious progression of
Article Abstract
Our paper presents the ultrasound (US) patterns of a rare kidney disease-medullary sponge kidney (MSK)-that have not been described before in comparison with other causes of medullary hyperechogenicity and correlates them with the severity of the disease and prognosis. This is a clinical observational study of all US examinations in the Nephrology Department over a period of 6 years. The abdominal US focused on the kidneys was recorded. US characteristics of the medulla and cortex were analyzed. We found 10 patients with characteristic daisy flower (DF) kidneys. Positive diagnosis in association with other renal risk factors, prognosis, and evolution were evaluated. Two patterns of medullary hyperechogenicity were found and were correlated with disease severity and kidney function. The first pattern is a homogenous echogenicity of the medulla described as a "daisy-like" appearance. The second pattern: calcifications associated with medullar echogenicity, stone production, nephrocalcinosis, and impaired kidney function: "atypical daisy-like." Medullary hyperechogenicity can have more US patterns. In MSK, if the medullary echogenicity is homogenous the evolution is benign, whereas the second, inhomogeneous pattern, has a variable clinical presentation with nephrocalcinosis and the outcome is more severe, leading to chronic kidney disease and impairing the quality of life.
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| http://dx.doi.org/10.1177/01617346231165493 | DOI Listing |
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