Autosomal recessive polycystic kidney disease

Also called ARPKD

Autosomal recessive polycystic kidney disease is a rare inherited condition that causes the kidneys to be enlarged and full of small cysts, and also affects the liver. It is often picked up on pregnancy scans or soon after birth, and its severity varies a lot between children.

Last updated Nov 9, 2026

What it is

A child is affected when they inherit a faulty gene from both parents, who usually have no symptoms themselves. Each pregnancy of such parents has a 1 in 4 chance of being affected.

Care is led by specialist children's kidney and liver teams and may include blood pressure treatment, nutrition support, dialysis, and kidney or liver transplant.

Common signs

  • Enlarged kidneys seen on a pregnancy scan
  • Breathing problems at birth in severe cases
  • High blood pressure
  • Poor growth
  • Signs of liver problems later in childhood

How it is usually diagnosed

  • Ultrasound in pregnancy or after birth
  • Blood and urine tests of kidney and liver function
  • Genetic testing

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Pregnancy and kidney ultrasound reports
  • Kidney and liver function results over time
  • Growth charts
  • Genetic test results and specialist letters

Questions to ask your doctor

  • How severe is it, and what should we expect as our child grows?
  • What will the care plan and check-ups look like?
  • What are the chances in a future pregnancy?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Vomiting blood or black stools
  • Fever with a very unwell child
  • Breathing difficulty in a baby

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources