Presentation
We present a new case of NNH in which the clinical presentation and H&E liver biopsy histology indicated the need for NNH workup. [ncbi.nlm.nih.gov]
[…] scarring or anesthesia, acral mutilation, metabolic and immunologic derangement, and hepatopathy (which can manifest with fulminant hepatic failure, a Reye-like syndrome or indolent progression to liver cirrhosis, depending on clinical form involved), present [orpha.net]
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.it]
Confirm each diagnosis by consulting a section, organized by symptoms, that presents the full range of differential diagnoses and treatment options for each specific condition. [books.google.de]
Entire Body System
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Short Stature
stature Scoliosis Loss of pain sensation Loss of temperature sensation Heat intolerance Reduced sweating Walking difficulty Liver disease Contractures Causes - Navajo neurohepatopathy Not supplied. [checkorphan.org]
Clinical features include sensorimotor neuropathy, corneal ulcerations, acral mutilation, poor weight gain, short stature, sexual infantilism, serious systemic infections, and liver derangement including Reye9s syndrome-like episodes. [scinapse.io]
On recent examination, he had short stature ( View Full Text AAN Members: Sign in with your AAN member credentials (e-mail or 6-digit Member ID number) Non-AAN Member subscribers: Sign in with subscriber credentials Log in using your username and password [neurology.org]
MELAS patients often have short stature and major symptoms, including generalized tonic-clonic seizures, recurrent migraine headaches, muscle weakness or exercise intolerance, and sensorineural hearing loss. [thieme-connect.com]
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Unable to Stand
At age 3 years, she was unable to stand without support. [ncbi.nlm.nih.gov]
Gastrointestinal
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Failure to Thrive
The major clinical features are hepatopathy, peripheral neuropathy, corneal anesthesia and scarring, acral mutilation, cerebral leukoencephalopathy, failure to thrive, and recurrent metabolic acidosis with intercurrent infections. [ncbi.nlm.nih.gov]
Onset is during infancy, and clinical features include liver dysfunction and failure, developmental delay, failure to thrive, lactic acidosis and muscle weakness. Rarer symptoms include seizures, ataxia, and liver cancer. [sema4genomics.com]
The genetic disease is believed to be caused by maternal exposure to uranium from waters contaminated by old mines Symptoms - Navajo neurohepatopathy Sensory loss Muscle weakness Reduced reflexes Enlarged liver Failure to thrive Systemic infections Corneal [checkorphan.org]
Clinical presentation includes failure to thrive, distal limb weakness with reduced sensation, limb contractures with loss of funtion, areflexia, recurrent metabolic acidosis with intercurrent illness, immunologic anomalies manifesting with severe systemic [orpha.net]
Neurologic
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Areflexia
Clinical presentation includes failure to thrive, distal limb weakness with reduced sensation, limb contractures with loss of funtion, areflexia, recurrent metabolic acidosis with intercurrent illness, immunologic anomalies manifesting with severe systemic [orpha.net]
It is a progressive sensorimotor neuropathy with distal weakness, areflexia, and reduced sensation in the extremities associated with acral mutilation. The role of possible surgical intervention is demonstrated in this case. [link.springer.com]
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Hyporeflexia
At age 15 mo, she had marked abdominal distention and ascites, muscle wasting, hypotonia, and hyporeflexia. Brain MRI revealed diffuse leukoencephalopathy. One month later, she underwent liver transplantation. [ncbi.nlm.nih.gov]
Workup
We present a new case of NNH in which the clinical presentation and H&E liver biopsy histology indicated the need for NNH workup. [ncbi.nlm.nih.gov]
Treatment
[…] the treatment of acute phases of BP I. [20v.corrode.us]
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]
Review the latest developments in the field and get up-to-date clinical information on hot topics like polyps, capsule endoscopy, and pancreatic treatments. [books.google.de]
CLOSE Medical Disclaimer The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. [diseaseinfosearch.org]
Prognosis
Prognosis - Navajo neurohepatopathy The \'prognosis\' of Navajo neurohepatopathy usually refers to the likely outcome of Navajo neurohepatopathy. [checkorphan.org]
These patients have long-standing abnormalities in serum alanine aminotransferase and/or γ-glutamyl transferase, no proven biliary tract disease and an apparently good prognosis (although the cause of this reactive lesion is uncertain). [abdominalkey.com]
Etiology
[…] systems Digestive system Liver and pancreatobiliary system Liver lobular cholestasis Synopsis hepatocytic cholestasis hepatocytic degeneration hepatocytic giant cell transformation canalicular cholestasis cholestaic hepatocytic rosettes biliary infarcts Etiology [humpath.com]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
We present three patients with terminal ileitis after kidney transplantation resulting from different etiologies... [readbyqxmd.com]
DISCUSSION The evidence for a mitochondrial etiology in NNH is com-pelling. [usdocument.net]
Epidemiology
[…] hypertrophic cardiomyopathy due to MRPL44 deficiency Neonatal adrenoleukodystrophy Zellweger syndrome Synonym(s): - Navajo neuropathy Classification (Orphanet): - Inborn errors of metabolism - Rare genetic disease Classification (ICD10): (no data available) Epidemiological [csbg.cnb.csic.es]
Neuropathy in Navajo children: clinical and epidemiologic features. Neurology. 1990;40(2):363–7. PubMed Google Scholar 3. Holve S, Hu D, Shub M, Tyson RW, Sokol RJ. Liver disease in Navajo neuropathy. J Pediatr. 1999;135(4):482–93. [link.springer.com]
Characterization of Phenotypes, Epidemiology, and Population Genetics 1992, Lynch Syndrom II in a Navajo Family-A revisit 1993, Familial sensory autonomic neuropathy with arthropathy in Navajo children 1994, Metachromatic Leukodystrophy in the Navajo [nec.navajo-nsn.gov]
Relevant External Links for MPV17 Genetic Association Database (GAD) MPV17 Human Genome Epidemiology (HuGE) Navigator MPV17 Atlas of Genetics and Cytogenetics in Oncology and Haematology: MPV17 No data available for Genatlas for MPV17 Gene The human homolog [genecards.org]
Singleton R, Helgerson SD, Snyder RD, O’Conner PJ, Nelson S, Johnsen SD, Allanson JE (1990) Neuropathy in Navajo children: clinical and epidemiologic features. Neurology 40:363–367 [ PubMed ] [ Google Scholar ] 9. [ncbi.nlm.nih.gov]
Pathophysiology
Because of this unraveling pathophysiology the treatment of hepatogenic pruritus often represents a clinical challenge... [readbyqxmd.com]
Heart failure is one of the most challenging and relevant pathophysiological syndromes in industrialized nations due to high mortality, morbidity, and cost. [1pdf.net]
Prevention
Prevention - Navajo neurohepatopathy Not supplied. Diagnosis - Navajo neurohepatopathy Not supplied. Prognosis - Navajo neurohepatopathy The \'prognosis\' of Navajo neurohepatopathy usually refers to the likely outcome of Navajo neurohepatopathy. [checkorphan.org]
American Board of Pediatrics Pediatrics Awards, Honors, & Recognition Fellow (FAAP) American Academy of Pediatrics Publications & Presentations PubMed An observational study of the association of fluoride varnish applied during well child visits and the prevention [doximity.com]
Patients undergoing transplants require tacrolimus, an immunosuppressive drug used to prevent rejection. [1pdf.net]
The Norwegian elite tried to prevent this by staging a national revolution, arranging elections for a national convent, which met in order to declare Norway an independent kingdom and draft its constitution. [sprakradet.no]