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Progressive familial intrahepatic cholestasis (PFIC): evidence for genetic heterogeneity by exclusion of linkage to chromosome 18q21-q22.
[benign recurrent intrahepatic cholestasis]
Progressive
familial
intrahepatic
cholestasis
(
PFIC
)
is
the
second
most
common
form
of
familial
intrahepatic
cholestasis
.
The
genes
for
PFIC
and
for
a
milder
form
of
the
disease
,
benign
recurrent
intrahepatic
cholestasis
(
BRIC
)
,
were
recently
mapped
to
a
19
-
cM
region
on
chromosome
18
q
21
-
q
22
.
The
results
suggest
that
PFIC
and
BRIC
are
allelic
diseases
.
We
have
studied
11
Swedish
patients
from
eight
families
with
clinical
and
biochemical
features
consistent
with
PFIC
.
The
families
were
genotyped
for
markers
D
18
S
69
,
D
18
S
64
,
D
18
S
55
and
D
18
S
68
,
spanning
the
PFIC
candidate
region
.
Unexpectedly
,
the
segregation
of
haplotypes
excluded
the
entire
region
in
three
families
,
and
no
indications
for
shared
haplotypes
were
found
in
the
patients
of
the
six
remaining
families
.
A
four
-point
linkage
analysis
of
all
families
excluded
linkage
from
D
18
S
69
to
D
18
S
55
(
Zmax
<
-
5
)
.
Thus
,
our
data
strongly
suggest
the
presence
of
a
second
,
yet
unknown
,
locus
for
PFIC
.
The
results
indicate
that
great
care
should
be
taken
when
using
18
q
markers
for
prenatal
diagnosis
and
genetic
counseling
for
the
disease
.
Diseases
Validation
Diseases presenting
"prenatal diagnosis"
symptom
22q11.2 deletion syndrome
achondroplasia
adrenomyeloneuropathy
alexander disease
alpha-thalassemia
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
classical phenylketonuria
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cystinuria
dentinogenesis imperfecta
epidermolysis bullosa simplex
harlequin ichthyosis
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kindler syndrome
krabbe disease
lamellar ichthyosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
monosomy 21
neonatal adrenoleukodystrophy
oculocutaneous albinism
omenn syndrome
phenylketonuria
primary hyperoxaluria type 1
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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