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Increased prevalence of renal cysts in patients with sickle cell disease

BMC Nephrology Sep 27, 2017

Meeks D, et al. - This study assessed the prevalence of simple renal cysts in patients with versus without sickle cell disease (SCD). In comparison to ethnically-matched controls, patients with SCD were found to be suffering from a more frequent occurrence of simple renal cysts, that were more abundant and developed at a younger age.

Methods

  • Researchers compared data from 223 SCD patients who had undergone an ultrasound and/or CT imaging of the abdomen with the data from 180 control patients (haemoglobin genotype unknown), matched for age and ethnicity.
  • They assessed scans for 198 SCD patients and 180 controls.

Results

  • In 58% of the SCD group and 20% of the controls, renal cysts were detected (OR 5.4 (CI 2.6–11.0), RR 2.8 (CI 1.9–4.2)).
  • Researchers found bilateral renal cysts in 28% of the SCD participants in comparison with 5% of the control group.
  • Findings demonstrated that in those who had one or more cysts, the average number of cysts was 3.76 for the SCD group and 1.94 for the controls.
  • In addition, compared with females, males with SCD were more likely to develop cysts (66% vs 53%), as were men without SCD (22% vs 17%).

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