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肾、胰腺和肝发育异常序列征

Renal, pancreatic and hepatic dysplasia sequence.

作者信息

Carles D, Serville F, Dubecq J P, Gonnet J M

机构信息

Service d'Anatomie Pathologique, UERSM III, Université de Bordeaux II, France.

出版信息

Eur J Pediatr. 1988 May;147(4):431-2. doi: 10.1007/BF00496429.

Abstract

A renal, pancreatic and hepatic dysplasia sequence (RPHD sequence) was found in a male premature baby who died a few minutes after birth. Autopsy documented multicystic dysplastic kidneys, a dysplastic pancreas with dilated ducts, cysts, fibrosis and inflammatory infiltrates, prominent portal tracts containing dilated bile ducts and hypoplastic lungs. Other organs were normal. This triad constitutes a "dysplastic sequence" and was first reported by Ivemark et al. as "familial dysplasia of kidneys, liver and pancreas". Since then, this combination of abnormalities has been named "polycystic dysplasia" and "renal-hepatic-pancreatic dysplasia", but mostly "Ivemark syndrome", at the risk of being confused with asplenia-cardiac anomaly syndrome, which was reviewed by Ivemark et al. and also bears Ivemark's name.

摘要

在一名早产男婴中发现了肾、胰腺和肝脏发育异常序列(RPHD序列),该男婴出生后几分钟即死亡。尸检记录显示有多囊发育不良肾、伴有扩张导管、囊肿、纤维化和炎性浸润的发育不良胰腺、含有扩张胆管的显著门静脉区域以及肺发育不全。其他器官正常。这三种情况构成了一种“发育异常序列”,最早由伊韦马克等人报道为“肾、肝和胰腺家族性发育异常”。从那时起,这种异常组合被命名为“多囊发育异常”和“肾-肝-胰腺发育异常”,但大多称为“伊韦马克综合征”,存在与伊韦马克等人所综述的无脾-心脏异常综合征混淆的风险,后者也以伊韦马克命名。

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