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Nephrol Dial Transplant (2004) 19: 249-251
© ERA–EDTA 2003; all rights reserved


Interesting Case

Double nucleotidic mutation of the MYH9 gene in a young patient with end-stage renal disease

Maria Capria, Michele Andreucci, Laura Fuiano, Domenico Mancuso, Paola Cianfrone, Nicola Comi, Giuseppe Mazza, Alfredo Caglioti and Giorgio Fuiano

Renal Unit, ‘Magna Graecia’ University of Catanzaro, Italy

Correspondence and offprint requests to: Michele Andreucci, MD, PhD, Via Giacomo Puccini 18, I-80127 Napoli, Italy. Email: andreucci@unicz.it

Keywords: Alport's syndrome; double nucleotidic mutation; end-stage renal disease

The first 10% of the full text of this article appears below.



   Introduction
 
Alport's syndrome, a renal disorder with inherited transmission, is characterized by ultrastructural changes of glomerular basement membrane and basement membranes elsewhere. A progressive haematuric nephritis, sensorineural hearing loss and familial occurrence in successive generations are typical of this disorder. X-linked dominant inheritance is quite frequent (85–90% of the families) [1].

Alport-like syndromes identify a group of diseases characterized by thrombocytopaenia with ‘giant platelets’ and autosomal dominant transmission. Their distinguishing features consist of the presence of nephritis, cataracts, hearing loss or deafness with or without leucocytic intracytoplasmatic inclusions (named ‘Dhole bodies’). This group of diseases includes: the May–Hegglin anomaly, Fechtner syndrome, Sebastian syndrome and Epstein syndrome. Unlike in Alport's syndrome, the genetic mutations linked to this group of disorders are in the human non-muscle myosin IIA . . . [Full Text of this Article]



   Case
 


   Discussion
 

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