raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:731

Autosomal recessive polycystic kidney disease

Synonyms: AR-PKD

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
All ages
Status
active

A rare, genetic hepatorenal fibrocystic syndrome characterized by cystic dilatation and ectasia of renal collecting tubules, and a ductal plate malformation of the liver resulting in congenital hepatic fibrosis. Clinical presentation, whilst typically in utero or at birth, is variable and in the most severe cases includes Potter-sequence, oligohydramnios, pulmonary hypoplasia, and massively enlarged echogenic kidneys.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive polycystic kidney diseaseAR-PKD
frPolykystose rénale autosomique récessive= en
deNierenkrankheit, polyzystische, autosomal-rezessiveARPKD · Nierenkrankheit, polyzystische, infantile Form · Nierenkrankheit, polyzystische, rezessive
esEnfermedad renal poliquística autosómica recesiva= en
itRene policistico autosomico recessivo
nlAutosomaal recessieve polycystische nierziekte= en
ptDoença renal poliquística autossómica recessiva
plAutosomalna recesywna wielotorbielowatość nerek= en
csAutozomálně recesivní polycystická nemoc ledvinAutozomálně recesivní polycystóza ledvin
ukАутосомно-рецесивна полікістозна хвороба нирок= en
zh常染色体隐性遗传多囊肾= en
trOtozomal resesif polikistik böbrek hastalığı= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM263200BTNTvalidated
OMIM617610BTNTvalidated
ICD-10Q61.1Especificvalidated
ICD-11GB8YNTBTindexvalidated
MONDO0009889Evalidated
MeSHD017044Evalidated
UMLSC0085548Evalidated
GARD8378Evalidated
MedDRA10036047Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (7):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
DZIP1LDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:26551ENSG000001581636175703q22.3DAZ interacting zinc finger protein 1 like28530676[PMID]
PKHD1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:9016ENSG000001709276067026p12.3-p12.2PKHD1 ciliary IPT domain containing fibrocystin/polyductin20301501[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0005 / 100 000GermanyValue and classValidated[EXPERT]_9511976[PMID]
Point prevalenceUnknown—EuropeClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

51 annotations · validated 2020-03-06
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000105Enlarged kidney
HP:0001395Hepatic fibrosis
HP:0000822Hypertension
HP:0001405Periportal fibrosis
HP:0000113Polycystic kidney dysplasia
Frequent (79-30%)
HP:0011040Abnormality of the intrahepatic bile duct
HP:0006560Biliary hyperplasia
HP:0001396Cholestasis
HP:0002612Congenital hepatic fibrosis
HP:0030948Elevated gamma-glutamyltransferase level
HP:0002040Esophageal varix
HP:0002630Fat malabsorption
HP:0011968Feeding difficulties
HP:0001510Growth delay
HP:0001971Hypersplenism
HP:0002902Hyponatremia
HP:0012202Increased serum bile acid concentration
HP:0004905Low levels of vitamin A
HP:0100512Low levels of vitamin D
HP:0100513Low levels of vitamin E
HP:0011892Low levels of vitamin K
HP:0001562Oligohydramnios
HP:0001409Portal hypertension
HP:0002089Pulmonary hypoplasia
HP:0005565Reduced renal corticomedullary differentiation
HP:0000083Renal insufficiency
HP:0002878Respiratory failure
HP:0001744Splenomegaly
HP:0003774Stage 5 chronic kidney disease
Occasional (29-5%)
HP:0001919Acute kidney injury
HP:0001541Ascites
HP:0030151Cholangitis
HP:0002239Gastrointestinal hemorrhage
HP:0002884Hepatoblastoma
HP:0001433Hepatosplenomegaly
HP:0002791Hypoventilation
HP:0000952Jaundice
HP:0100520Oliguria
HP:0001959Polydipsia
HP:0002243Protein-losing enteropathy
HP:0006532Recurrent pneumonia
HP:0000010Recurrent urinary tract infections
HP:0001873Thrombocytopenia
Very rare (<4-1%)
HP:0040064Abnormality of limbs
HP:0030153Cholangiocarcinoma
HP:0100543Cognitive impairment
HP:0000457Depressed nasal ridge
HP:0000369Low-set ears
HP:0000347Micrognathia
HP:0001737Pancreatic cysts
HP:0002108Spontaneous pneumothorax

Run the differential on the 5 obligate / very frequent terms

Annotation source: 20301501[PMID]_25689455[PMID]_28530676[PMID]

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Sources for this card