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NDT Advance Access originally published online on March 29, 2007
Nephrology Dialysis Transplantation 2007 22(6):1499-1505; doi:10.1093/ndt/gfm024
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© The Author [2007]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Alport syndrome and the X chromosome: implications of a diagnosis of Alport syndrome in females

Clifford E. Kashtan

Division of Pediatric Nephrology, Department of Pediatrics, University of Minnesota Medical School, University of Minnesota Children's Hospital, Fairview, MN, USA

Correspondence and offprint requests to: Clifford E. Kashtan, MD, University of Minnesota Medical School, MMC 491, 420 Delaware Street SE, Minneapolis, MN 55455, USA. Email: kasht001@umn.edu

Keywords: Alport syndrome; basement membranes; type IV collagen; X chromosome

The first 150 words of the full text of this article appear below.



   End-stage renal disease in women with Alport syndrome
 
In his 1927 report on ‘hereditary familial congenital haemorrhagic nephritis’, A. Cecil Alport [1] noted that the ‘male members of a family tend to develop nephritis and deafness and do not as a rule survive’, while ‘the females have deafness and haematuria and live to old age’. This characterization of the impact of gender on the outcome of Alport syndrome has been conventional wisdom for nearly 80 years. However, the family described by Alport included a female with haematuria and deafness who died at 24 years of age. Alport may have considered this woman an exception, but with the passage of time it has become clear that women with Alport syndrome are indeed at risk for progression to end-stage renal disease (ESRD).

Descriptions of Alport kindreds have often included affected women who developed uraemia. For example, Crawfurd and Toghill [2] described sisters in a large Alport . . . [Full Text of this Article]



   Genetic aspects of Alport syndrome in women
 


   Diagnosis of Alport syndrome in girls and women
 


   Outcomes of females in animal models of XLAS
 


   Renal transplantation in women with Alport syndrome
 


   Summary
 

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