Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=27073431
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\27073431
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Exp+Ther+Med
2016 ; 11
(4
): 1249-1252
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Delayed diagnosis of Townes-Brocks syndrome with multicystic kidneys and renal
failure caused by a novel SALL1 nonsense mutation: A case report
#MMPMID27073431
Lin FJ
; Lu W
; Gale D
; Yao Y
; Zou R
; Bian F
; Jiang GR
Exp Ther Med
2016[Apr]; 11
(4
): 1249-1252
PMID27073431
show ga
Townes-Brocks syndrome (TBS) is a rare autosomal dominant congenital anomaly
syndrome characterized by the triad of anorectal, hand and external ear
malformations. Kidney involvement is less common and may progress to end-stage
renal failure (ESRF) early in life. The present study reports the case of a male
patient presenting with multiple bilateral cortical kidney cysts at the age of 4
years, at which time the kidneys were of normal size and function. A clinical
diagnosis of autosomal recessive polycystic kidney disease was made initially as
the patient's parents are clinically healthy. However, the consideration of
extra-renal involvements (imperforate anus at birth, preaxial polydactyly and
dysplastic right ear) following the progression of the patient to ESRF at the age
of 16 years, led to the diagnosis of TBS. This prompted sequencing of the SALL1
gene, which identified a novel heterozygous nonsense mutation in the mutational
'hotspot' of exon 2 (c.874C>T, p.Q292X), and this mutation was not detected in
healthy controls. The current case highlights that TBS may present with normal
sized, cystic kidneys in childhood, while recognition of extra-renal features of
cystic kidney diseases, such as TBS, and genetic testing may facilitate the
correct diagnosis and transmission mode. Reaching a correct diagnosis of as TBS
is important since this condition has a 50% rate of transmission to offspring and
can progress to ESRF early in life.