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Start free with EleplanAutosomal recessive polycystic kidney disease
ORPHA:731Disease
Also called AR-PKD
What it is
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.
Key facts
- Prevalence
- 1-9 / 100 000 (at birth, Germany)
- Age of onset
- All ages
- Inheritance
- Autosomal recessive
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
5Common30–79%
24- Abnormality of the intrahepatic bile duct
- Biliary hyperplasia
- Cholestasis
- Congenital hepatic fibrosis
- Elevated gamma-glutamyltransferase level
- Esophageal varix
- Fat malabsorption
- Feeding difficulties
- Growth delay
- Hypersplenism
- Hyponatremia
- Increased serum bile acid concentration
- Low levels of vitamin A
- Low levels of vitamin D
- Low levels of vitamin E
- Low levels of vitamin K
- Oligohydramnios
- Portal hypertension
- Pulmonary hypoplasia
- Reduced renal corticomedullary differentiation
- Renal insufficiency
- Respiratory failure
- Splenomegaly
- Stage 5 chronic kidney disease
Sometimes5–29%
14- Acute kidney injury
- Ascites
- Cholangitis
- Gastrointestinal hemorrhage
- Hepatoblastoma
- Hepatosplenomegaly
- Hypoventilation
- Jaundice
and 6 more in this range
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Genes
ICD-10 codes
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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