Renal/Urinary Severe Hereditary CatDog

Polycystic Kidney Disease

Also known as: PKD, Polycystic Kidney Disease (PKD)

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

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)

BreedSpeciesSize
Rainbow LorikeetBirdMedium
American ShorthairCatMedium
BirmanCatMedium
BombayCatMedium
British LonghairCatMedium
British ShorthairCatLarge
ChartreuxCatLarge
Devon RexCatSmall
Exotic ShorthairCatMedium
HimalayanCatMedium
Maine CoonCatLarge
PersianCatMedium
RagamuffinCatLarge
RagdollCatLarge
Russian BlueCatMedium
Scottish FoldCatMedium
Selkirk RexCatMedium
SiberianCatLarge
SnowshoeCatMedium
TonkineseCatMedium

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