Glomerulocystic kidney disease is a rare condition, usually seen in in
fants and young children, characterised by cystic dilatation of the gl
omeruli. It may be sporadic or represent the congenital expression of
dominant polycystic kidney disease. Glomerular cysts may also be seen
in association with various syndromes and as a component of dysplastic
kidneys. Only two cases of acquired glomerulocystic kidneys have been
described, both in adults. The cystic change followed haemolytic-urae
mic syndrome in one patient and systemic sclerosis in the other. These
two conditions are closely related and may be indistinguishable patho
logically. We report a case of acquired glomerulocystic kidney in a ch
ild which followed the haemolytic-uraemic syndrome. The factors leadin
g to glomerulocystic kidney following haemolytic-uraemic syndrome are
unknown and need further evaluation.