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[肾脏在罕见遗传性疾病中的表现]

[Kidney involvement in rare hereditary diseases].

作者信息

Moiseev S V, Shilov E M

机构信息

Sechenov First Moscow State Medical University (Sechenov University).

Lomonosov Moscow State University.

出版信息

Ter Arkh. 2024 Jul 7;96(6):559-564. doi: 10.26442/00403660.2024.06.202722.

Abstract

Various rare inherited disorders can be associated with kidney involvement, including glomerulopathies, tubulopathies, multiple cysts, congenital anomalies of the kidneys and urinary tract, urolithiasis, malignant and benign tumors. Genetic nephropathy should be always considered in children, adolescents and young patients with the kidneys or urinary tract disorders and/or patients with positive family anamnesis. Extrarenal manifestations can be a valuable clue for diagnosis of certain hereditary diseases, e.g. neurosensory deafness in Alport syndrome or photofobia in nephropathic cystinosis. Diagnosis of monogenic inherited diseases should be verified by genetic testing. Specific drugs are available for treatment of certain hereditary diseases involving kidney, e.g. Fabry disease, cystinosis, primary hyperoxaluria I type and atypical hemolytic uremic syndrome.

摘要

多种罕见的遗传性疾病可伴有肾脏受累,包括肾小球病、肾小管病、多囊、肾和尿路先天性异常、尿路结石、恶性和良性肿瘤。对于患有肾脏或尿路疾病的儿童、青少年和年轻患者,以及有阳性家族史的患者,应始终考虑遗传性肾病。肾外表现可能是某些遗传性疾病诊断的重要线索,例如阿尔波特综合征中的神经感觉性耳聋或肾病性胱氨酸病中的畏光。单基因遗传病的诊断应通过基因检测来证实。有特定药物可用于治疗某些累及肾脏的遗传性疾病,如法布里病、胱氨酸病、I型原发性高草酸尿症和非典型溶血尿毒综合征。

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