Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1995-10-26
pubmed:abstractText
Forty-two children out of 20 sibships with autosomal recessive polycystic kidney disease were observed pro- and retrospectively over a mean period of 3.7 years in a long-term study on cystic kidney diseases in children. The intra- and interfamilial variability in terms of age at diagnosis, administration of antihypertensive therapy, liver affection, and renal function were evaluated. According to the 1971 subclassification of Blyth & Ockenden, defining different grades of severity, 12 patients were assigned to the perinatal, nine to the neonatal, 13 to the infantile, and eight to the juvenile subtype of autosomal recessive polycystic kidney disease. In 11 of the 20 families different subtypes were observed among affected siblings. In seven families, affected sibs belonged to adjacent subtypes, while major intrafamilial differences were observed in only four families. The defined subtypes, therefore, cannot be regarded as appropriate in distinguishing genetic groups of autosomal recessive polycystic kidney disease. With respect to the severity of autosomal recessive polycystic kidney disease, there is a wide spectrum of phenotypic manifestations, ranging from stillbirths to mildly affected of phenotypic manifestations, ranging from stillbirths to mildly affected adults, while intrafamilial variability of the clinical picture is generally small with multiple allelism as the most likely genetic explanation. Age at death, however, showed gross variation in eight sibships. Differences in the clinical course between several siblings cannot be explained by a sex influence in autosomal recessive polycystic kidney disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0009-9163
pubmed:author
pubmed:issnType
Print
pubmed:volume
47
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
248-53
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:7554350-Adolescent, pubmed-meshheading:7554350-Adult, pubmed-meshheading:7554350-Age of Onset, pubmed-meshheading:7554350-Child, pubmed-meshheading:7554350-Child, Preschool, pubmed-meshheading:7554350-Creatine, pubmed-meshheading:7554350-Disease Progression, pubmed-meshheading:7554350-Female, pubmed-meshheading:7554350-Humans, pubmed-meshheading:7554350-Hypertension, pubmed-meshheading:7554350-Infant, pubmed-meshheading:7554350-Infant, Newborn, pubmed-meshheading:7554350-Kidney Function Tests, pubmed-meshheading:7554350-Liver Cirrhosis, pubmed-meshheading:7554350-Longitudinal Studies, pubmed-meshheading:7554350-Male, pubmed-meshheading:7554350-Multicenter Studies as Topic, pubmed-meshheading:7554350-Polycystic Kidney, Autosomal Recessive, pubmed-meshheading:7554350-Prognosis, pubmed-meshheading:7554350-Retrospective Studies
pubmed:year
1995
pubmed:articleTitle
Course of autosomal recessive polycystic kidney disease (ARPKD) in siblings: a clinical comparison of 20 sibships.
pubmed:affiliation
Institut für Humangenetik, Universität Bonn, Germany.
pubmed:publicationType
Journal Article, Comparative Study, Review, Research Support, Non-U.S. Gov't