CASE PRESENTATIONPatient 1. A 17-year-old boy with gross hematuria was referred to our center 18 years ago. He had been hit on the left flank area during a football scrimmage. His father and uncle had autosomal-dominant polycystic kidney disease (ADPKD). On examination, his height was 1.88 m; weight, 73.2 kg; and blood pressure (BP), 160/100 mm Hg. Moderate left costovertebral angle tenderness was noted. The serum creatinine was 0.9 mg/dL. Ultrasound examination disclosed kidneys of 12.8 and 12 cm with multiple cysts. No cysts appeared in the liver or pancreas. After resting for 30 minutes, the BP was 130/80 mm Hg. He returned for follow-up 1 year later. The BP was 145/92 mm Hg; enalapril, 5 mg daily, was started.Between 1988 and 1999, he was followed by his family physician and made occasional visits to our center. Fourteen years ago, he returned for a study on the accuracy and reproducibility of kidney volume measurements by electron beam computed tomography (CT). His weight was 81.6 kg and BP 138/86 mm Hg. The serum creatinine was 1.0 mg/dL. The total kidney volume was esti-The Nephrology Forum is funded in part by grants from Amgen, Incorporated; Merck & Co., Incorporated; and Dialysis Clinic, Incorporated.