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Clinical and molecular characteristics of Pendred syndrome.
[pendred syndrome]
Pendred
syndrome
is
an
autosomal
recessive
disorder
defined
by
sensorineural
deafness
,
goiter
and
a
partial
defect
in
the
organification
of
iodide
.
It
is
caused
by
biallelic
mutations
in
the
SLC
26
A
4
gene
,
which
encodes
pendrin
,
a
multifunctional
anion
exchanger
.
At
the
level
of
the
inner
ear
,
pendrin
is
important
for
the
creation
of
a
normal
endolymph
composition
and
the
maintenance
of
the
endocochlear
potential
.
In
the
thyroid
,
pendrin
is
expressed
at
the
apical
membrane
of
thyroid
follicular
cells
and
it
appears
to
be
involved
in
mediating
iodide
efflux
into
the
lumen
and
/
or
maintenance
of
the
follicular
pH
.
Goiter
development
and
hypothyroidism
vary
among
affected
individuals
and
seem
to
be
partially
dependent
on
nutritional
iodide
intake
.
In
the
kidney
,
pendrin
functions
as
a
chloride
/
bicarbonate
exchanger
.
Elucidation
of
the
molecular
basis
of
Pendred
syndrome
and
the
function
of
pendrin
has
provided
unexpected
novel
insights
into
the
pathophysiology
of
the
inner
ear
,
thyroid
hormone
synthesis
,
and
chloride
/
bicarbonate
exchange
in
the
kidney
.
Diseases
Validation
Diseases presenting
"hypothyroidism"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
adrenomyeloneuropathy
alpha-thalassemia
aromatase deficiency
congenital adrenal hyperplasia
cowden syndrome
cushing syndrome
familial mediterranean fever
gm1 gangliosidosis
harlequin ichthyosis
hirschsprung disease
inclusion body myositis
kallmann syndrome
pendred syndrome
proteus syndrome
pyruvate dehydrogenase deficiency
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated