Spangenberg H C, Rösler K, Blum H E
Medizinische Universitätsklinik, Abteilung Innere Medizin II, Albert-Ludwigs-Universität, Freiburg.
Ther Umsch. 2004 Aug;61(8):513-20. doi: 10.1024/0040-5930.61.8.513.
In recent years the identification and characterization of gene defects underlying hereditary liver diseases lead to a better understanding of their pathogenesis. Heditary hemochromatosis, Wilson's disease and alpha1-antitrypsin deficiency are the most common hereditary liver diseases. While gene defects and disease manifestation may correlate, genetic testing is generally not contributing to diagnosis. This review summarizes the clinical manifestations, diagnosis and therapy of the most frequent hereditary liver diseases: hereditary hemochromatosis, Wilson's disease and alpha1-antitrypsin deficiency.
近年来,对遗传性肝病潜在基因缺陷的鉴定和特征分析有助于更好地理解其发病机制。遗传性血色素沉着症、威尔逊氏病和α1抗胰蛋白酶缺乏症是最常见的遗传性肝病。虽然基因缺陷与疾病表现可能相关,但基因检测一般对诊断并无帮助。本综述总结了最常见的遗传性肝病——遗传性血色素沉着症、威尔逊氏病和α1抗胰蛋白酶缺乏症的临床表现、诊断和治疗方法。