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
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 |
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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
| Genetic aspects of Alport syndrome in women |
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| Diagnosis of Alport syndrome in girls and women |
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| Outcomes of females in animal models of XLAS |
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| Renal transplantation in women with Alport syndrome |
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| Summary |
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