Beauséjour Yannick, Alvarez Fernando, Beaulieu Martin, Bilodeau Marc
Liver Unit, Centre hospitalier de l'Université de Montréal, Montréal, Québec.
Can J Gastroenterol. 2011 Jun;25(6):311-4. doi: 10.1155/2011/534918.
Benign recurrent intrahepatic cholestasis is a rare clinical entity that is caused by mutations in the canalicular transport genes. The present report describes two individuals from the same family whose symptoms were typical of the clinical characteristics of type 2 benign recurrent intrahepatic cholestasis. Sequencing of the ABCB11 gene revealed two previously unreported mutations that predict the absence of expression of the protein. The clinical presentation of the current cases are discussed, as are the differential diagnosis and genetic characteristics of the hereditary cholestatic disorders, overemphasizing the possibility of making a definite genetic diagnosis.
良性复发性肝内胆汁淤积症是一种由胆小管转运基因突变引起的罕见临床病症。本报告描述了来自同一家庭的两名个体,其症状符合2型良性复发性肝内胆汁淤积症的典型临床特征。对ABCB11基因进行测序后发现了两个此前未报告的突变,这些突变预示该蛋白无法表达。文中讨论了当前病例的临床表现以及遗传性胆汁淤积性疾病的鉴别诊断和遗传特征,着重强调了做出明确基因诊断的可能性。