Presentation
Some form of pigmentary retinopathy is frequently present although its age of presentation is highly variable. [disorders.eyes.arizona.edu]
Cysts may or may not be present and are a result of tubular dilation. They probably share similar mechanisms, although these are not well characterized. [merckmanuals.com]
2014] More gene data Featured antibodies Antibodies Filters Application Antibodypedia Validation Initiative Validation method Reference Provider Host Reactivity Antibody type Conjugate or Clear Enhanced validation Supportive data in Antibodypedia Data presented [antibodypedia.com]
Infantile : bilateral disease due to cortical cysts with renal failure by 3 years of age; may have extrarenal presentation including retinitis pigmentosa, hepatic fibrosis, skeletal / CNS malformations, situs inversus, etc. [pathologyoutlines.com]
[…] mutant, however, showed drastic alterations in the composition of the ciliary membrane and matrix, with a decrease in membrane proteins that are not anchored to the axoneme, and an increase in large cytosolic housekeeping proteins that are not normally present [jcs.biologists.org]
Entire Body System
- Infertility
Articles about the NPHP4 gene NPHP4 mutation is linked to cerebello-oculo-renal syndrome and male infertility. [Clin Genet. 2014] NPHP4 mutation is linked to cerebello-oculo-renal syndrome and male infertility. Clin Genet. 2014 Apr; 85(4):371-5. [ncbi.nlm.nih.gov]
May be involved in male infertility. Homozygosity for a frameshift truncating mutation are associated with markedly abnormal sperm morphology. May be involved in cardiac laterality defects and heterotaxy. [ghr.nlm.nih.gov]
[…] unusually severe form of infantile nephronophthisis. homozygous NPHP4 truncating mutation that expands the phenotypic spectrum of NPHP4-related nephronophthisis to also include cerebello-oculo-renal syndrome and abnormal spermatogenesis causing male infertility [antibodies-online.com]
Respiratoric
- Respiratory Distress
On presentation to our center, he looked pale and had respiratory distress, tachycardia, and hypertension with as blood pressure of 140/90 (above the 95th centile for age, gender and height). [omicsonline.org]
Musculoskeletal
Face, Head & Neck
- Broad Nasal Bridge
Patient had dysmorphic faces (prominent forehead, broad nasal bridge and hyperteoloerism) ( Figure 1 ). [omicsonline.org]
Urogenital
- Kidney Failure
failure in young peoplepanel. [panelapp.genomicsengland.co.uk]
Complications Kidney failure : Kidney disease is progressive in Senior-Loken syndrome (SLS), so kidney failure often develops. Kidney failure may be life threatening if not properly treated with dietary restriction and dialysis. [naturesoasismarket.com]
[Epub ahead of print] Abstract: NPHP4 mutations cause nephronophthisis, an autosomal recessive cystic kidney disease associated with renal fibrosis and kidney failure. [gene-tools.com]
They include medicines and lifestyle changes, and if there is kidney failure, dialysis or kidney transplants. Acquired cystic kidney disease (ACKD) happens in people who have chronic kidney disease, especially if they are on dialysis. [icdlist.com]
The disorder is inherited in an autosomal recessive fashion and, although rare, is the most common genetic cause of childhood kidney failure. [en.wikipedia.org]
- Cesarean Section
The brother (case 2) was the first-born of preterm triplets via a cesarean section and his birth weight was 2 kg. [omicsonline.org]
Workup
Topics include: Non-neoplastic diseases in kidney cancer; Nephrectomy for non-neoplastic causes; Autopsy renal pathology; Practical approach to kidney donation workup; Kidney allograft pathology; Renal infections; Amyloidosis - all subtypes; Histologic [books.google.de]
Genetic analysis is highly indicated in order to identify causative mutations, assist with further syndromatic workup and help with prognosis. [renalandurologynews.com]
Incidental discovery of renal dysfunction during diagnostic workup of possibly unrelated symptoms, or during routine check-ups, accounted for less than 50 % of cases. [link.springer.com]
Treatment
Finally, by reviewing the potential therapeutic approaches for the treatment of METH abusers. [books.google.de]
Treatment Treatment Options: No treatment beyond renal transplantation is available. Low vison aids can be helpful in some patients. [disorders.eyes.arizona.edu]
With the in troduction of commercial dialysate-containing plastic bags, which mark edly reduced the incidence of peritonitis, the use of CAPD as a primary treatment modality has increased significantly. [books.google.com]
Prognosis
(Outcomes/Resolutions) The prognosis of Juvenile Nephronophthisis is typically guarded. [dovemed.com]
Therefore NPH counts among the group of ciliopathies progress and prognosis Depending on the form of NPH progress of chronic renal failure. [neocyst.de]
Treat associated renal failure - usually haemodialysis followed by renal transplantation (the illness does not recur in the transplanted kidney). [ 1, 2 ] Prognosis Most children will develop renal failure by mean age of 13 years. [patient.info]
Genetic testing can also be used to clarify uncertain radiology results, establish recurrence risk, provide disease prognosis, and potentially screen living donors for transplantation. [invitae.com]
Early detection of the disease can significantly improve prognosis. [centogene.com]
Etiology
Etiology Five genes associated with the disease have been identified. The first gene, NPHP1, has been mapped to chromosome 2q13. [orpha.net]
The etiology of nephronophthisis is obscure but a likely possibility is that the renal damage results from an inborn metabolic error. © 1977 S. [karger.com]
(Etiology) Juvenile Nephronophthisis is an inherited genetic disorder, and the inheritance pattern is autosomal recessive. [dovemed.com]
Epidemiology
Nephrotoxins 1275 Urinary Tract Infections 1299 Vesicoureteral Reflux and Renal Scarring 1311 Obstructive Uropathy 1337 Bladder Dysfunction in Children 1379 Urolithiasis 1405 Pediatric Renal Tumors 1431 Epidemiology of Hypertension 1459 Pathophysiology [books.google.de]
[…] general Group of autosomal recessive disorders characterized by corticomedullary cysts, atrophy and interstitial fibrosis "Phthisis" (Greek): dwindling or wasting away Also referred to as juvenile nephronophthisis medullary cystic kidney disease complex Epidemiology [pathologyoutlines.com]
[…] recessive and patients develop end-stage renal failure (ESRF) by adolescence. [ 1, 2 ] The protein products, named nephrocystins, which become abnormal in this disorder, have primarily a function in cilial structures (making it a ' ciliopathy '). [ 3 ] Epidemiology [patient.info]
Summary Epidemiology Prevalence is 1/100 000 individuals. Clinical description The disease is both clinically and genetically heterogeneous. Three main clinical forms have been described. [orpha.net]
Adult NPH [1] Management [ edit ] The management of this condition can be done via-improvement of any electrolyte imbalance, as well as, high blood pressure and low red blood cell counts (anemia) treatment as the individual's condition warrants. [1] Epidemiology [en.wikipedia.org]
Pathophysiology
Nphp4 is widely associated with the autosomal recessive cilliopathy and nephronopthisis, but had not been previously implicated in the molecular or cellular pathophysiology of ARPKD. [datamed.org]
Nephrotoxins 1275 Urinary Tract Infections 1299 Vesicoureteral Reflux and Renal Scarring 1311 Obstructive Uropathy 1337 Bladder Dysfunction in Children 1379 Urolithiasis 1405 Pediatric Renal Tumors 1431 Epidemiology of Hypertension 1459 Pathophysiology [books.google.de]
Saldino-Mainzer syndrome). [6] [7] Cause [ edit ] Nephronophthisis is characterized by fibrosis and the formation of cysts at the cortico-medullary junction, it is an autosomal recessive disorder which eventually leads to terminal kidney failure. [8] Pathophysiology [en.wikipedia.org]
Prevention
For long term storage, store at -20C in small aliquots to prevent freeze-thaw cycles. Concentration: Batch dependent within range: 100 ul at 0.5 - 1 mg/ml Protein Interactions: UBC; CEP164; DDB1; LATS1; NPHP1; NPHP4; RPGRIP1; [avivasysbio.com]
Currently, there are no specific methods or guidelines to prevent the Juvenile Nephronophthisis, since it is a genetic condition Genetic testing of the expecting parents (and related family members) and prenatal diagnosis (molecular testing of the fetus [dovemed.com]
Prevention General : Because Senior-Loken syndrome (SLS) is an inherited condition, there is currently no known way to prevent the disease. However, a number of options are available for prospective parents with a family history of SLS. [naturesoasismarket.com]
Management and treatment At present, there is no treatment for preventing progression to end-stage renal failure. The documents contained in this web site are presented for information purposes only. [orpha.net]
Sufficient carbohydrates and fats should be consumed to provide energy and prevent the body from metabolizing its own proteins. [rarediseases.org]