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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,
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关键词:
- 多囊肾,常染色体隐性 /
- 肝肿瘤 /
- 肝硬化 /
- 成年人 /
- 病例报告
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Key words:
- polycystic kidney /
- autosomal recessive /
- liver neoplasms /
- liver cirrhosis /
- adult
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[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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