Childhood course of renal insufficiency in a family with a uromodulin gene mutation.

Autor: Schäffer P; Department of Nephrology and Gastroenterology, Heim Pál Children's Hospital, Budapest, Hungary., Gombos E, Meichelbeck K, Kiss A, Hart PS, Bleyer AJ
Jazyk: angličtina
Zdroj: Pediatric nephrology (Berlin, Germany) [Pediatr Nephrol] 2010 Jul; Vol. 25 (7), pp. 1355-60. Date of Electronic Publication: 2010 Feb 12.
DOI: 10.1007/s00467-009-1436-y
Abstrakt: Mutations in the UMOD gene encoding uromodulin (Tamm-Horsfall glycoprotein) result in the autosomal dominant transmission of progressive renal insufficiency and hypo-uricosuric hyperuricemia leading to gout at an early age. The clinical appearance is characterized by renal insufficiency and gout occurring in the late teenage years, with end-stage kidney disease characteristically developing between 40 and 70 years of age. This report provides a long-term characterization of renal functional decline in three children from one family with a novel UMOD mutation (c.891T>G, p.C297W) who received allopurinol and a low protein diet. While renal functional decline is slow in individuals with UMOD mutations, it may appear early in life and be associated with marked hyperuricemia. Anemia was also noted in this family.
Databáze: MEDLINE