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Living with Familial juvenile hyperuricemic nephropathy type 2

An inherited kidney disease (REN-related) with slowly worsening kidney function, usually noticed in childhood, plus anemia and gout.

Understanding Familial juvenile hyperuricemic nephropathy type 2

Familial juvenile hyperuricemic nephropathy type 2, also called REN-related kidney disease, is an inherited condition that affects kidney function.

It causes slowly worsening kidney disease that is usually noticed in childhood. Kidneys filter less well over time, which can lead to kidney failure needing dialysis or a transplant. Children may have mild anemia that tends to improve in the teen years. Many people have high uric acid, and gout may start in their twenties.

Signs & symptoms

GARD doesn't list a symptom list for this condition. Its summary describes:

  • Slowly worsening kidney disease
  • Low blood pressure (sometimes)
  • Mildly high potassium (hyperkalemia)
  • Mild anemia in childhood
  • High uric acid in the blood
  • Gout (painful joint arthritis)

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 genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in REN are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 Rare Kidney Disease 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
Should I have genetic testing for the REN gene?
How often should my kidney function and blood counts be checked?
How can gout be managed in my case?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesREN

Changes in the REN gene cause it. It is autosomal dominant, which means one changed copy of the gene is enough.

GeneticKidney

Also known as: adtkd-ren; adtkd4; autosomal dominant tubulointerstitial kidney disease due to mutations in ren; early-onset hyperuricemia, anemia, and progressive kidney failure; familial juvenile hyperuricemic nephropathy caused by mutation in ren; fjhn type 2

Patient organizations

Source: NIH GARD · Familial juvenile hyperuricemic nephropathy type 2GARD ID 13461 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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