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软骨发育不全与胆道闭锁:一种罕见的关联及文献综述

Achondroplasia and Biliary Atresia: A Rare Association and Review of Literature.

作者信息

Kylat Ranjit I

机构信息

Division of Neonatal-Perinatal Medicine and Developmental Biology, Department of Pediatrics, University of Arizona, Tucson, Arizona, United States.

出版信息

J Pediatr Genet. 2017 Jun;6(2):122-125. doi: 10.1055/s-0036-1597930. Epub 2017 Jan 2.

Abstract

Achondroplasia (ACH) occurs in most cases as de novo mutations of the gene-encoding fibroblast growth factor receptor 3 (FGFR3). Biliary atresia (BA) is a progressive neonatal inflammatory and fibro-obliterative cholangiopathy affecting the extra- and intrahepatic biliary tree to varying degrees, and it results in obstruction to bile flow and cholestatic jaundice in neonates. BA is thought to be a multifactorial disease, genome association studies have shown abnormalities in susceptibility genes, and levels of fibroblast growth factor 21 (FGF21) and fibroblast growth factor 23 (FGF23) have been noted to be increased. These two conditions occurring in the same patient has never been reported before.

摘要

软骨发育不全(ACH)在大多数情况下是由编码成纤维细胞生长因子受体3(FGFR3)的基因发生新发突变引起的。胆道闭锁(BA)是一种进行性新生儿炎症性和纤维闭塞性胆管病,会不同程度地影响肝外和肝内胆管树,导致新生儿胆汁流动受阻和胆汁淤积性黄疸。BA被认为是一种多因素疾病,全基因组关联研究已显示出易感基因存在异常,并且已注意到成纤维细胞生长因子21(FGF21)和成纤维细胞生长因子23(FGF23)的水平有所升高。此前从未有过同一患者同时出现这两种病症的报道。

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