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Progressive familial intrahepatic cholestasis: genetic disorders of biliary transporters.
[benign recurrent intrahepatic cholestasis]
Progressive
familial
intrahepatic
cholestasis
types
1
,
2
and
3
are
childhood
diseases
of
the
liver
.
Benign
recurrent
intrahepatic
cholestasis
is
predominantly
an
adult
form
with
similar
clinical
symptoms
that
spontaneously
resolve
.
These
genetic
disorders
have
significantly
helped
to
unravel
the
basic
mechanisms
of
the
canalicular
bile
transport
processes
.
Progressive
familial
intrahepatic
cholestasis
type
1
involves
a
gene
also
linked
to
benign
recurrent
intrahepatic
cholestasis
.
The
gene
codes
for
an
aminophospholipid
translocase
protein
that
maintains
the
integrity
of
the
membrane
.
How
a
mutation
in
this
protein
causes
cholestasis
is
unknown
but
is
thought
to
involve
the
enterohepatic
recirculation
of
bile
acids
.
Progressive
familial
intrahepatic
cholestasis
types
2
and
3
involve
the
canalicular
bile
salt
export
pump
and
a
phospholipid
translocase
,
respectively
,
both
of
which
are
fundamental
to
bile
secretion
.
This
review
covers
the
clinical
manifestations
,
genetics
,
treatment
and
mechanism
of
each
disease
.
Diseases
Validation
Diseases presenting
"cholestasis"
symptom
benign recurrent intrahepatic cholestasis
carcinoma of the gallbladder
congenital toxoplasmosis
erythropoietic protoporphyria
familial mediterranean fever
megacystis-microcolon-intestinal hypoperistalsis syndrome
neonatal adrenoleukodystrophy
x-linked adrenoleukodystrophy
zellweger syndrome
This symptom has already been validated