Polycystic Kidney Disease
Polycystic Kidney Disease (PKD) is an inherited condition characterized by the development of multiple fluid-filled cysts within the kidneys. These cysts progressively enlarge over time, replacing normal kidney tissue and eventually leading to chronic kidney failure. It is most common in Persian cats and related breeds.
Symptoms & Signs
- Often asymptomatic in early stages
- Increased thirst and urination
- Decreased appetite
- Weight loss
- Vomiting
- Enlarged kidneys (palpable)
- Lethargy
- Poor coat condition
Causes & Risk Factors
Autosomal dominant inheritance in cats (PKD1 gene mutation). Cysts are present from birth but enlarge progressively. The mutated polycystin-1 protein disrupts normal tubular cell growth regulation, leading to cyst formation and expansion.
Diagnosis
Ultrasound examination can detect cysts as early as 10 weeks of age (sensitivity increases with age). DNA testing for the PKD1 mutation provides definitive genetic diagnosis. Blood work monitors kidney function (BUN, creatinine, SDMA).
Treatment
No cure exists. Management focuses on slowing progression of chronic kidney disease: renal diet (restricted phosphorus and protein), phosphate binders, fluid therapy, anti-nausea medications, blood pressure management, and erythropoietin for anemia.
Prevention
DNA testing all breeding cats for PKD1 mutation. Removing positive cats from breeding programs. Ultrasound screening of breeding stock. The prevalence in Persians has decreased significantly since genetic testing became available.
Prognosis
Variable depending on cyst burden and rate of progression. Some cats develop kidney failure by age 3-4, while others maintain adequate function into their teens. Average age of kidney failure onset is 7 years in affected Persians.
Affected Breeds (20)
| Breed | Species | Size |
|---|---|---|
| Rainbow Lorikeet | Bird | Medium |
| American Shorthair | Cat | Medium |
| Birman | Cat | Medium |
| Bombay | Cat | Medium |
| British Longhair | Cat | Medium |
| British Shorthair | Cat | Large |
| Chartreux | Cat | Large |
| Devon Rex | Cat | Small |
| Exotic Shorthair | Cat | Medium |
| Himalayan | Cat | Medium |
| Maine Coon | Cat | Large |
| Persian | Cat | Medium |
| Ragamuffin | Cat | Large |
| Ragdoll | Cat | Large |
| Russian Blue | Cat | Medium |
| Scottish Fold | Cat | Medium |
| Selkirk Rex | Cat | Medium |
| Siberian | Cat | Large |
| Snowshoe | Cat | Medium |
| Tonkinese | Cat | Medium |