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综述文章:血色素沉着症的现代诊断与管理

Review article: the modern diagnosis and management of haemochromatosis.

作者信息

Adams P C

机构信息

Department of Medicine, University of Western Ontario, London, Ontario, Canada.

出版信息

Aliment Pharmacol Ther. 2006 Jun 15;23(12):1681-91. doi: 10.1111/j.1365-2036.2006.02947.x.

Abstract

Haemochromatosis is the most common genetic disease in populations of European ancestry. Despite estimates based on genetic testing in Caucasian populations of 1 in 227, many physicians consider haemochromatosis to be a rare disease. The diagnosis can be elusive because of the non-specific nature of the symptoms. Of all the symptoms, liver disease has the most consistent relationship to haemochromatosis and the prognosis of haemochromatosis is most closely linked to the degree of iron overload. With the discovery of the HFE gene in 1996, comes new insights into the pathogenesis of the disease and new diagnostic strategies. However, a growing number of new iron-related genes have been discovered and linked to other iron overload syndromes.

摘要

血色素沉着症是欧洲血统人群中最常见的遗传性疾病。尽管根据对白种人群的基因检测估计发病率为1/227,但许多医生仍认为血色素沉着症是一种罕见疾病。由于症状的非特异性,诊断可能难以捉摸。在所有症状中,肝脏疾病与血色素沉着症的关系最为一致,且血色素沉着症的预后与铁过载程度密切相关。1996年发现HFE基因后,人们对该疾病的发病机制有了新的认识,并产生了新的诊断策略。然而,越来越多与铁相关的新基因被发现,并与其他铁过载综合征有关。

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