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Epidemiological study of a von Hippel-Lindau family in northwest China.
[von hippel-lindau disease]
von
Hippel-
Lindau
(
VHL
)
disease
is
a
rare
,
inherited
neoplastic
disease
characterized
by
hemangioblastomas
(
HBL
)
of
the
central
nervous
system
(
CNS
)
,
retinal
angiomas
,
renal
cell
carcinomas
(
RCC
)
,
pancreatic
endocrine
tumors
(
PETs
)
,
pheochromocytomas
,
paragangliomas
,
and
visceral
cysts
.
We
encountered
a
large
VHL
family
in
northwest
China
and
conducted
a
systematic
screening
of
the
family
members
based
on
their
epidemiological
and
clinical
characteristics
.
A
self-designed
questionnaire
was
used
to
collect
the
general
sociodemographic
and
health
information
of
the
family
members
.
For
the
preliminary
family
screening
,
physical
examination
and
abdomen
B
ultrasonography
were
performed
.
The
suspected
patients
were
subjected
to
cranial
computerized
tomography
and
fundus
examination
.
The
clinical
data
of
the
patients
with
confirmed
VHL
disease
were
collected
from
hospital
records
.
A
total
of
63
lineal
descendants
in
six
generations
were
observed
in
the
family
(
generations
O
,
A
,
B
,
C
,
D
,
E
)
,
including
9
dead
suspected
cases
(
6
males
,
3
females
)
and
10
living
cases
(
2
males
,
8
females
)
.
Among
the
10
living
cases
,
4
,
2
,
1
,
3
,
4
,
8
,
and
2
manifested
HBLs
of
the
CNS
,
PETs
,
RCC
,
pancreatic
cysts
,
renal
cysts
,
pheochromocytomas
(
4
hemi
and
4
bilateral
)
,
and
paragangliomas
,
respectively
.
Data
showed
that
the
morbidity
of
VHL
disease
in
generation
C
was
lower
than
that
in
generation
B
,
but
the
age
of
onset
was
younger
.
This
study
is
the
first
to
report
VHL
disease
in
northwest
China
and
VHL
-associated
PET
cases
in
Chinese
.
Therefore
,
follow-up
checkups
of
the
family
should
be
focused
on
younger
generations
.
Proper
family
screening
protocols
should
be
followed
for
the
treatment
of
patients
with
VHL
disease
.
Diseases
Validation
Diseases presenting
"respectively"
symptom
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
alpha-thalassemia
benign recurrent intrahepatic cholestasis
carcinoma of the gallbladder
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dentinogenesis imperfecta
epidermolysis bullosa simplex
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
harlequin ichthyosis
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
kallmann syndrome
lamellar ichthyosis
liposarcoma
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyruvate dehydrogenase deficiency
scrub typhus
triple a syndrome
von hippel-lindau disease
well-differentiated liposarcoma
wolf-hirschhorn syndrome
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