Billateral Polycystic Kidneys in a Girl with WAGR Syndrome

• Published in: Indian journal of pediatrics 2011-10, Vol.78 (10), p.1290-1292
• Main Authors: Gucev, Zoran, Muratovska, Olivera, Laban, Nevenka, Misevska, Lence, Jancevska, Aleksandra, Crolla, John, Tasic, Velibor
• Format: Article
• Language: English
• Subjects: Biological and medical sciences; Child; Clinical Brief; Female; General aspects; Gynecology; Humans; Kidneys; Malformations of the urinary system; Medical sciences; Medicine; Medicine & Public Health; Nephrology. Urinary tract diseases; Pediatrics; Polycystic Kidney Diseases - diagnostic imaging; Polycystic Kidney Diseases - genetics; Tumors of the urinary system; Ultrasonography; WAGR Syndrome - genetics; Wilms Tumor - diagnostic imaging; Wilms Tumor - genetics
• ISSN: 0019-5456; 0973-7693
• DOI: 10.1007/s12098-011-0457-2

The WAGR contiguous gene deletion syndrome is a combination of Wilms tumor, aniridia, genito-urinary abnormalities, and mental retardation. An 8.5-year-old girl was initially investigated at the age of 18 months for congenital bilateral aniridia, cataracts, glaucoma and epicantus. The ultrasound (US) scan showed polycystic kidney disease. FISH study revealed deletion of the WT1 and PAX6 gene in the 11p13 WAGR region. Forty days after the first kidney US, the second US revealed a 3 cm tumor in the right kidney: a Wilms tumour, treated successfully with the Wilm’s tumor protocol. The authors conclude that the identification of the deletions in the WAGR region in patients with aniridia should definitely be done. In addition, Wilms tumor can have a very rapid growth, which, per se requires frequent and careful ultrasound kidney controls. Polycystic kidneys can be part of the WAGR presentation.