Presentation
Recognize the basic patterns of liver injury through an algorithmic approach and establish diagnosis by a pattern-based visual index present at the beginning of the book. [books.google.com]
Disorder Synonym(s): Hereditary hypercholanemia Prevalence: 1 / 1 000 000 Inheritance: Autosomal recessive Age of onset: Infancy, Neonatal ICD-10: - OMIM: 607748 UMLS: C1843139 MeSH: - GARD: - MedDRA: - The documents contained in this web site are presented [orpha.net]
The mutation was not present in 190 control chromosomes from Caucasian individuals, 34 control chromosomes from Amish (non-Lancaster County) individuals or 15 non-transmitted parental chromosomes. It was seen on 7 of... [go.gale.com]
Gastrointestinal
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Failure to Thrive
Affiliated tissues include liver and breast, and related phenotypes are failure to thrive and rickets UniProtKB/Swiss-Prot : 73 Familial hypercholanemia: A disorder characterized by elevated serum bile acid concentrations, itching, and fat malabsorption [malacards.org]
Fat malabsorption, reflecting low intestinal bile acid levels, was manifested by failure to thrive, potentially life-threatening vitamin-K dependent coagulopathy and rickets. Symptoms usually responded to treatment with ursodeoxycholic acid (UDCA). [go.gale.com]
Diseases related with Failure to thrive and Pruritus In the following list you will find some of the most common rare diseases related to Failure to thrive and Pruritus that can help you solving undiagnosed cases. [mendelian.co]
Fat malabsorption, reflectinglow intestinal bile acid levels, was manifested by failure to thrive,potentially life-threatening vitamin-K dependent coagulopathyand rickets. Symptoms usually responded to treatment withursodeoxycholic acid (UDCA). [docslide.com.br]
Jaw & Teeth
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Macrostomia
[…] colli - Fingerlike / triphalangeal thumb - Herniae - Hypertelorism - Intellectual deficit / mental / psychomotor retardation / learning disability - Intrauterine growth retardation - Large fontanelle / delayed fontanelle closure - Low hair line (back) - Macrostomia [csbg.cnb.csic.es]
Skin
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Pterygium Colli
colli - Fingerlike / triphalangeal thumb - Herniae - Hypertelorism - Intellectual deficit / mental / psychomotor retardation / learning disability - Intrauterine growth retardation - Large fontanelle / delayed fontanelle closure - Low hair line (back [csbg.cnb.csic.es]
Ears
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Low Set Ears
set ears / posteriorly rotated ears - Short / small nose Frequent - Abnormally placed nipples - Absent / small fingernails / anonychia of hands - Anomalies of spine, vertebrae and pelvis - Bifid scrotum - Coarse / thick hair - Epicanthic folds - Excess [csbg.cnb.csic.es]
Musculoskeletal
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Short Hands
hand / brachydactyly - Short stature / dwarfism / nanism - Strabismus / squint Occasional - Cleft palate without cleft lip / submucosal cleft palate / bifid uvula - Neoplasms / tumors - Structural anomalies of the cardio-circulatory system - Undescended [csbg.cnb.csic.es]
Face, Head & Neck
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Large Fontanel
fontanelle / delayed fontanelle closure - Low hair line (back) - Macrostomia / big mouth - Microcephaly - Protruding lips - Ptosis - Short hand / brachydactyly - Short stature / dwarfism / nanism - Strabismus / squint Occasional - Cleft palate without [csbg.cnb.csic.es]
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Protruding Lips
lips - Ptosis - Short hand / brachydactyly - Short stature / dwarfism / nanism - Strabismus / squint Occasional - Cleft palate without cleft lip / submucosal cleft palate / bifid uvula - Neoplasms / tumors - Structural anomalies of the cardio-circulatory [csbg.cnb.csic.es]
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Cleft Lip and-or Palate
lip / submucosal cleft palate / bifid uvula - Neoplasms / tumors - Structural anomalies of the cardio-circulatory system - Undescended / ectopic testes / cryptorchidia / unfixed testes Familial hypercholanemia (no data available) [csbg.cnb.csic.es]
Workup
Make a comprehensive diagnostic workup with data from ancillary techniques and molecular findings whenever appropriate. Effectively grasp complex topics and streamline decision- making by using extensive tables, graphs, and flowcharts. [books.google.com]
Clinical Testing and Workup Certain examinations such as a specific serologic tests and a liver biopsy may be performed to rule out more common causes of cholestasis. [rarediseases.org]
Biopsy
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Liver Biopsy
No other single source delivers the practical, hands-on information you need to solve even the toughest diagnostic challenges in liver biopsies. [books.google.com]
Liver biopsy findings varied. One untreated individual (1d) had canalicular cholestasis and two individuals (7c, 12c) receiving UDCA had minimally active chronic hepatitis [1]. [go.gale.com]
Liver biopsy showed piecemeal necrosis with early cirrhosis and no bile stasis or bile duct proliferation. She was started on cholestyramine, diphenhydaramine, ursodeoxycholic acid to which she had mild relief. [pediatriconcall.com]
Treatment
Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.com]
Several older individuals have become symptom-free and have discontinued UDCA treatment. We have no information on the natural history of FHC in adults. [go.gale.com]
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Prognosis
Diagnosis - confirmedby buccal mucosal biopsy MRI demonstrating extrahepatic siderosis. • The prognosis is poor;liver transplantation can be curative.. 44. [slideshare.net]
Prognosis of Patients With Familial Hypercholesterolemia After Acute Coronary Syndromes. Circulation. 2016; 134 (10): 698-709. 22. Usifo E., Leigh S.E.A., Whittall R.A. et al. [kremlin-medicine.ru]
PMID 15456900 Loss of tight junction plaque molecules in breast cancer tissues is associated with a poor prognosis in patients with breast cancer. Martin TA, Watkins G, Mansel RE, Jiang WG. Eur J Cancer. 2004 Dec;40(18):2717-25. [atlasgeneticsoncology.org]
Parents should talk to their children’s physician and medical team about their specific case, associated symptoms and overall prognosis. [rarediseases.org]
The type of mutation seems to be associated with the outcome of PEBD, with better prognosis in disease caused by milder mutations, especially for the ABCB11 mutations E297G and D482G [32,45]. [intechopen.com]
Etiology
Hepatobiliary surgery is a major line of therapy in some etiologies of neonatal cholestasis. [intechopen.com]
Oursuccess in elucidating the genetic etiology of FHC highlights thepower of population genetic approaches, in combination withthe annotated human genome sequence, to identify loci andmutations associated with disease.MethodsAffected individuals. [docslide.com.br]
ETIOLOGICAL PROFILE OF NC IN INDIA 12. CLINICAL APPROACH 13. [slideshare.net]
Epidemiology
[…] data: Class of prevalence: 1 / 1 000 000 Average age onset: neonatal/infancy Average age of death: - Type of inheritance: autosomal recessive Epidemiological data: Class of prevalence: unknown Average age onset: neonatal/infancy Average age of death: [csbg.cnb.csic.es]
Hay Dept. of Emergency Medicine and Epidemiology Unit, Barzilai Medical Center, Ashkelon There is an international epidemic of violence in the emergency department (ED) which threatens medical staff daily. [ima.org.il]
Pathophysiology
Reinforce your foundation in basic science with the concise Pathophysiology of Therapeutic Targets section. See clear presentations of liver disease through hundreds of detailed, color illustrations. [books.google.com]
Molecular physiology and pathophysiology of tight junctions I. Tight junction structure and function: lessons from mutant animals and proteins. Am. J. Physiol. Gastrointest. Liver Physiol. 279, G250–G254 (2000). 8. Jesaitis, L.A. & Goodenough, D.A. [nature.com]
This review summarizes the pathophysiology, clinical features and current as well as future therapeutic options for progressive familial- and benign recurrent intrahepatic cholestasis as well as intrahepatic cholestasis of pregnancy. [scinapse.io]
Prevention
This receptor defect prevents ldl binding to the cell membrane and uptake of cholesterol which normally suppresses further cholesterol synthesis. [icd10data.com]
Familial hypercholesterolaemia is underdiagnosed and undertreated in the general population: guidance for clinicians to prevent coronary heart disease: consensus statement of the European Atherosclerosis Society. Eur. [kremlin-medicine.ru]
This will fill the gap in preventive care and establish the effective treatments of FH. [ncbi.nlm.nih.gov]
Nevertheless, several treatment modalities can be used in specific patients to improve quality of life or prevent progression of the disease [2,69]. [intechopen.com]
Yaskil (Representing the 39 Investigators of Project AML-IL-95-001, WHO Collaborative Center for Prevention of CV Diseases) Ben-Gurion University of the Negev, Beer Sheba; Barzilai Medical Center, Ashkelon; Hypertension Clinic, Kupat Holim Afula; Statistics [ima.org.il]