Article
From clinical mimicry to accurate diagnosis: COL4A4-associated nephropathy hidden behind polycystic kidney disease.
Nefrologia - 1 Jan 2026
Del Águila García María Del Mar, Poyatos Andújar Antonio M, Morales García Ana I, Velázquez de Castro Del Pino María Del Carmen, Espigares Huete María José, Esteban de la Rosa Rafael J
Abstract excerpt
Type IV collagen related nephropathy caused by heterozygous variants in the COL4A3 or COL4A4 genes shows a wide phenotypic variability, with asymptomatic individuals being relatively common. A cystic phenotype in these cases is uncommon and rarely presents with nephromegaly mimicking autosomal dominant polycystic kidney disease (ADPKD). We report a family with hereditary kidney disease showing an autosomal...
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