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成人常染色体隐性遗传性多囊肾病1例报告

刘丰 玄志鲁 刘凯 韩铠泽 杨帆 刘亚辉

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Citation:

成人常染色体隐性遗传性多囊肾病1例报告

DOI: 10.3969/j.issn.1001-5256.2017.03.026
详细信息
  • 中图分类号: R692.1

  • 摘要: <正>常染色体隐性遗传性多囊肾病(autosomal recessive polycystic kidney disease,ARPKD),也称多囊肾肝病(polycystic kidney and hepatic disease,PKHD),是一种多发于儿童肾脏及肝脏的严重单基因遗传病,发病率为1∶20 000[1]。该病主要表现为双肾形成多个进行性增大的囊肿,后期出现肾功能不全,严重者需透析治疗;肝脏表现为不同程度的肝囊肿和肝硬化、胆管扩张以及先天性的肝门静脉纤维化[2]。患者多数早年夭折,极少存活至成年,成年病例国内未见报道,

     

  • [1]GUNAY-AYGUN M, TURKBEY IB, BRYANT J, et al.Hepatorenal findings in obligate heterozygotes for autosomal recessive polycystic kidney disease[J].Mol Genet Metab, 2011, 104 (4) :677-681.
    [2]BRINKERT F, LEHNHARDT A, MONTOYA C, et al.Combined liver-kidney transplantation for children with autosomal recessive polycystic kidney disease (ARPKD) :indication and outcome[J].Transpl Int, 2013, 26 (6) :640-650.
    [3]SUN LN, ZHANG L, LIANG QH.Research progress of autosomal recessive polycystic kidney disease[J].J Clin Pediatr, 2015, 33 (3) :295-298. (in Chinese) 孙丽娜, 张琳, 梁庆红.常染色体隐性遗传性多囊肾病的研究进展[J].临床儿科杂志, 2015, 33 (3) :295-298.
    [4]GASCUE C, KATSANIS N, BADANO JL.Cystic diseases of the kidney:ciliary dysfunction and cystogenic mechanisms[J].Pediatr Nephrol, 2011, 26 (8) :1181-1195.
    [5]GUNAY-AYGUN M, TUCHMAN M, FONT-MONTGOMERYE, et al.PKHD1 sequence variations in 78 children and adults with autosomal recessive polycystic kidney disease and congenital hepatic fibrosis[J].Mol Genet Metab, 2010, 99 (2) :160-173.
    [6]DIAS NF, LANZARINI V, ONUCHIC LF, et al.Clinical aspects of autosomal recessive polycystic kidney disease[J].J Bras Nefrol, 2010, 32 (3) :263-267.
    [7]GOTO M, HOXHA N, OSMAN R, et al.The renin-angiotensin system and hypertension in autosomal recessive polycystic kidney disease[J].Pediatr Nephrol, 2010, 25 (12) :2449-2457.
    [8]LIU SP, DING J.Clinical and genetic diagnosis of autosomal recessive polycystic kidney disease[J].Chin J Pediatr, 2013, 51 (4) :311-313. (in Chinese) 刘淑平, 丁洁.常染色体隐性遗传性多囊肾临床与基因诊断[J].中华儿科杂志, 2013, 51 (4) :311-313.
    [9]HARTUNG EA, GUAY-WOODFORD LM.Autosomal recessive polycystic kidney disease:a hepatorenal fibrocystic disorder with pleiotropic effects[J].Pediatrics, 2014, 134 (3) :833-845.
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  • 出版日期:  2017-03-20
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