Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2005-11-9
pubmed:abstractText
Elevated liver enzymes can be seen relatively frequently in patients with Turner syndrome (TS), while the pathogenesis of this remains unclear. Our epidemiological and prospective study aimed to investigate: a) the natural 2-yr course of liver disease in a selected cohort of young patients with TS, who had been preliminarily recruited on the basis of persistently elevated liver enzymes; b) the role of prolonged hormonal therapies in the etiology of liver dysfunction. From an overall population of 214 TS patients younger than 20 yr, only 19 (8.9%) were recruited, according to the following inclusion criteria: increased serum concentrations of one or more liver enzymes, exceeding the uppermost limit of the respective normal ranges, and persistence of these liver alterations for 6 months after the preliminary assessment. On the basis of the results of this prospective study, we can conclude that: a) the prevalence of liver abnormalities in girls and adolescents with TS is much lower and more strictly related to hormonal therapies than in TS adults; b) both autoimmunity and obesity are not frequently involved in the etiology of TS liver dysfunction; c) liver damage is either mild or moderate and its severity is not conditioned by karyotype; d) its course may be self-limiting; e) its natural history may be characterized in some cases by a slight deterioration of intrahepatic cholestasis, with no negative repercussions on liver synthetic function.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0391-4097
pubmed:author
pubmed:issnType
Print
pubmed:volume
28
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
720-6
pubmed:meshHeading
pubmed-meshheading:16277168-Adolescent, pubmed-meshheading:16277168-Adult, pubmed-meshheading:16277168-Alanine Transaminase, pubmed-meshheading:16277168-Aspartate Aminotransferases, pubmed-meshheading:16277168-Body Mass Index, pubmed-meshheading:16277168-Child, pubmed-meshheading:16277168-Child, Preschool, pubmed-meshheading:16277168-Chromosome Aberrations, pubmed-meshheading:16277168-Cohort Studies, pubmed-meshheading:16277168-Ethinyl Estradiol, pubmed-meshheading:16277168-Female, pubmed-meshheading:16277168-Human Growth Hormone, pubmed-meshheading:16277168-Humans, pubmed-meshheading:16277168-Liver Diseases, pubmed-meshheading:16277168-Longitudinal Studies, pubmed-meshheading:16277168-Prospective Studies, pubmed-meshheading:16277168-Turner Syndrome, pubmed-meshheading:16277168-gamma-Glutamyltransferase
pubmed:year
2005
pubmed:articleTitle
Increased liver enzymes and hormonal therapies in girls and adolescents with Turner syndrome.
pubmed:affiliation
Department of Pediatrics, University of Messina, Messina, Italy. wasniewska@yahoo.it
pubmed:publicationType
Journal Article