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Prenatal diagnosis of progressive familial intrahepatic cholestasis type 2.
[benign recurrent intrahepatic cholestasis]
Progressive
familial
intrahepatic
cholestasis
type
2
(
PFIC
2
)
results
from
genetic
defects
of
the
hepatobiliary
bile
salt
export
pump
(
BSEP
,
ABCB
11
)
at
chromosome
2
q
24
.
Patients
with
progressive
cholestasis
and
liver
cirrhosis
usually
need
liver
transplantation
in
the
first
decade
.
Mutations
in
ABCB
11
are
also
associated
with
benign
recurrent
intrahepatic
cholestasis
type
2
and
intrahepatic
cholestasis
of
pregnancy
in
adult
patients
.
We
aimed
to
make
the
prenatal
diagnosis
of
PFIC
2
.
Genetic
diagnosis
was
performed
by
genomic
DNA
analysis
.
Prenatal
genetic
diagnosis
was
made
by
fetal
amniotic
DNA
and
chorionic
DNA
analysis
.
We
report
on
two
families
of
PFIC
2
with
inherited
compound
heterozygous
mutations
of
ABCB
11
(
M
183
V
and
R
303
K
in
Family
1
,
V
284
L
and
1145
delC
in
Family
2
)
from
the
parents
.
An
infant
with
heterozygous
M
183
V
mutation
was
later
born
healthy
in
Family
1
.
A
fetus
with
compound
heterozygous
missense
mutation
V
284
L
and
1145
delC
was
terminated
in
Family
2
.
Prenatal
diagnosis
of
PFIC
2
was
helpful
to
prevent
further
affected
children
in
families
with
this
fatal
disease
.
Diseases
Validation
Diseases presenting
"affected children in families with this fatal disease"
symptom
benign recurrent intrahepatic cholestasis
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