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Living with Renal tubular dysgenesis

A severe kidney condition in which parts of the kidneys don't develop before birth, affecting urine and amniotic fluid.

Understanding Renal tubular dysgenesis

Renal tubular dysgenesis is a severe kidney disorder in which the kidneys develop abnormally before birth.

The proximal tubules, which help reabsorb nutrients and water, are absent or underdeveloped. Without them, the kidneys can't make urine, so the fluid around the baby (amniotic fluid) is low. Low fluid causes a set of differences called the Potter sequence, including a flat nose, low-set ears, clubfeet, and underdeveloped lungs. It also causes severe low blood pressure and, in some people, large gaps between skull bones. GARD lists onset during pregnancy.

Signs & symptoms

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

  • Kidneys that can't make urine (anuria)
  • Low amniotic fluid before birth (oligohydramnios)
  • Underdeveloped lungs
  • Severe low blood pressure
  • Multiple kidney cysts
  • Wide-set eyes and flat nose

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 kidney specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
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 National Kidney 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
Is genetic testing available to find the cause?
Should we have genetic counseling for future pregnancies?
Which specialists should be on our care team?

Quick facts

Symptoms usually startduring Pregnancy
InheritanceAutosomal Recessive

GARD lists autosomal recessive inheritance, meaning a child inherits a changed copy of the gene from each parent. It doesn't name a gene here.

Kidney

Also known as: allanson pantzar mcleod syndrome; primitive renal tubule syndrome; renotubular dysgenesis

Patient organizations

Source: NIH GARD · Renal tubular dysgenesisGARD ID 379 · 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

Perspectives from people navigating life with Renal tubular dysgenesis.

Explore the Renal tubular dysgenesis blog

Explore research for Renal tubular dysgenesis

Explore actively recruiting Renal tubular dysgenesis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Renal tubular dysgenesis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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