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Gradual improvement of liver function after administration of ursodeoxycholic acid in an infant with a novel ABCB11 gene mutation with phenotypic continuum between BRIC2 and PFIC2.

Gradual improvement of liver function after administration of ursodeoxycholic acid in an infant with a novel ABCB11 gene mutation with phenotypic continuum between BRIC2 and PFIC2. Research Abstract Details 

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  • Gradual improvement of liver function after administration of ursodeoxycholic acid in an infant with a novel ABCB11 gene mutation with phenotypic continuum between BRIC2 and PFIC2. Abstract Text:

    atsushi takahashiAtsushi Takahashi,makoto hasegawaMakoto Hasegawa,ryo sumazakiRyo Sumazaki,makoto suzukiMakoto Suzuki,fumiaki tokiFumiaki Toki,taketoshi suehiroTaketoshi Suehiro,kazumichi onigataKazumichi Onigata,takeshi tomomasaTakeshi Tomomasa,tomoko suzukiTomoko Suzuki,akira matsuiAkira Matsui,akihiro morikawaAkihiro Morikawa,hiroyuki kuwanoHiroyuki Kuwano,

    OBJECT: The authors report the case of a boy with PFIC type 2 or BRIC type 2 who suffered from liver dysfunction at 2 months after birth. METHODS AND RESULTS: A liver biopsy specimen revealed mild liver cirrhosis, and the findings resembled those observed in Byler disease. Genetic examination revealed a normal familial intrahepatic cholestasis-1 gene, but a heterozygous mutation for the ABCB11, C1620A (F540L), was observed. Therefore, the patient was initially diagnosed with PFIC type 2. For 3 years after the diagnosis, he had severe pruritus, an increased serum bile acid, and normal serum values of gamma-glutamyl transaminase. At the age of 2, treatment with administration of ursodeoxycholic acid was started; subsequently, a gradual improvement in his liver function was observed. At the age of 3, he suffered from massive intestinal and pulmonary hemorrhage, which improved immediately after the administration of vitamin K. He was then admitted to our hospital for liver transplantation. At 1 month after the admission, his liver dysfunction showed further improvement, except for a mild increase in the serum bile acid level. This condition did not show any change during the 5-year follow-up period. In addition, the patient showed severe growth failure and was diagnosed with growth hormone deficiency. Hence, he receives growth hormone administration. CONCLUSION: The patient could be genetically diagnosed with bile salt export pump disease of PFIC type 2 or BRIC type 2. Various clinical features are observed in PFIC or BRIC patients with ABCB11 mutation.

    Gradual improvement of liver function after administration of ursodeoxycholic acid in an infant with a novel ABCB11 gene mutation with phenotypic continuum between BRIC2 and PFIC2. Publishing Authors By Initials

    a takahashiA Takahashi,m hasegawaM Hasegawa,r sumazakiR Sumazaki,m suzukiM Suzuki,f tokiF Toki,t suehiroT Suehiro,k onigataK Onigata,t tomomasaT Tomomasa,t suzukiT Suzuki,a matsuiA Matsui,a morikawaA Morikawa,h kuwanoH Kuwano,

    For similar abstracts research abstracts see: abstracts research

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    Gradual improvement of liver function after administration of ursodeoxycholic acid in an infant with a novel ABCB11 gene mutation with phenotypic continuum between BRIC2 and PFIC2. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: European journal of gastroenterology & hepatology

    VOLUME: 19

    Page Numbers: 942-6

    Journal Abbreviation:

    ISSN: 0954-691X

    DAY: 30

    MONTH: Nov

    YEAR: 2007

    Gradual improvement of liver function after administration of ursodeoxycholic acid in an infant with a novel ABCB11 gene mutation with phenotypic continuum between BRIC2 and PFIC2. Information

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    LANGUAGE: eng

    NlmUniqueID: 9000874

    Gradual improvement of liver function after administration of ursodeoxycholic acid in an infant with a novel ABCB11 gene mutation with phenotypic continuum between BRIC2 and PFIC2. Keywords Mesh Terms:

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    Grant and Affiliation Information for Gradual improvement of liver function after administration of ursodeoxycholic acid in an infant with a novel ABCB11 gene mutation with phenotypic continuum between BRIC2 and PFIC2.

    AFFILIATION: Department of General Surgical Science (Surgery I), Gunma University, Graduate School of Medicine, Gunma, Japan. takaatsu@med.gunma-u.ac.jp

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: Eur J Gastroenterol Hepatol

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    Gradual improvement of liver function after administration of ursodeoxycholic acid in an infant with a novel ABCB11 gene mutation with phenotypic continuum between BRIC2 and PFIC2 Related Publications

     

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