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Living with Autosomal recessive polycystic kidney disease

An inherited condition with kidney and liver cysts that often begins before birth.

Understanding Autosomal recessive polycystic kidney disease

Autosomal recessive polycystic kidney disease (ARPKD) is a genetic condition with cysts that grow in the kidneys and liver.

Kidney cysts can lead to kidney failure. Other organs such as the liver, and the blood vessels in the brain and heart, can be affected. Severity varies. Signs often begin before birth, so it is called infantile PKD, but some people do not have symptoms until later in childhood or adulthood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Enlarged kidneys with cysts
  • High blood pressure
  • Scarring of the liver (hepatic fibrosis)
  • Poor kidney function
  • Feeding difficulties and slowed growth
  • Enlarged spleen

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists, genetic specialists, kidney specialists and urinary and male reproductive system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    PKD Foundation and Resolve: The National Infertility Association may keep lists of experts for this condition.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists); Kidney specialists (nephrologists); Urinary and male reproductive system specialists (urologists)
Expert care
Expert lists: PKD Foundation, Resolve: The National Infertility Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with PKD Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for the PKHD1 gene confirm the diagnosis?
How often should kidney and liver function be checked?
How can we monitor blood pressure and growth?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive

It is caused by changes in the PKHD1 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticKidneyGastrointestinal

Also known as: ar polycystic kidney disease; ar-pkd; arpkd; arpkd - autosomal recessive polycystic kidney disease; autosomal recessive infantile polycystic kidney disease; autosomal recessive polycystic kidney

Patient organizations

Source: NIH GARD · Autosomal recessive polycystic kidney diseaseGARD ID 8378 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

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