Nephronophthisis (NPH) is an autosomal recessive ciliopathy and a major cause of end-stage renal disease in children. The main forms. juvenile and adult NPH. are characterized by tubulointerstitial fibrosis whereas the infantile form is more severe and characterized by cysts. http://www.spidertattooz.com/Army-Crest-13Th-Signal-Battalion-Voice-of-Command/