Nephrological problems in a child with Aicardi-Goutières syndrome

Aicardi-Goutières syndrome (AGS) is a rare genetic disorder characterized by excessive interferon-alpha production, leading to central nervous system damage, manifesting as subacute encephalopathy in infancy. Moreover, the phenotype includes frostbite-like skin lesions, hepatosplenomegaly, and endoc...

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Main Authors: Małgorzata Piejak, Zuzanna Hus, Adam Bujanowicz, Piotr Skrzypczyk, Joanna Samotyjek, Beata Jurkiewicz, Hanna Szymanik-Grzelak, Mariusz I. Furmanek, Małgorzata Pańczyk-Tomaszewska
Format: Article
Language:English
Published: Termedia Publishing House 2024-12-01
Series:Pediatria Polska
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Online Access:https://www.termedia.pl/Nephrological-problems-in-a-child-with-Aicardi-Goutieres-syndrome,127,55417,1,1.html
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author Małgorzata Piejak
Zuzanna Hus
Adam Bujanowicz
Piotr Skrzypczyk
Joanna Samotyjek
Beata Jurkiewicz
Hanna Szymanik-Grzelak
Mariusz I. Furmanek
Małgorzata Pańczyk-Tomaszewska
author_facet Małgorzata Piejak
Zuzanna Hus
Adam Bujanowicz
Piotr Skrzypczyk
Joanna Samotyjek
Beata Jurkiewicz
Hanna Szymanik-Grzelak
Mariusz I. Furmanek
Małgorzata Pańczyk-Tomaszewska
author_sort Małgorzata Piejak
collection DOAJ
description Aicardi-Goutières syndrome (AGS) is a rare genetic disorder characterized by excessive interferon-alpha production, leading to central nervous system damage, manifesting as subacute encephalopathy in infancy. Moreover, the phenotype includes frostbite-like skin lesions, hepatosplenomegaly, and endocrinopa­thies. Here we report a case of a patient with this syndrome and a concurrent urinary system malformation. A 3-year-old boy with AGS was referred to the nephrology clinic due to recurrent urinary tract infections. Diagnostics including voiding cystourethrography and renal scintigraphy revealed left-sided grade III vesicoureteral reflux and minor post-inflammatory lesions. Subsequent cystometry indicated subvesical obstruction, and posterior urethral valves were incised during cystoscopy. Since the initiation of treatment with furazidine, doxazosin and oxybutynin hydrochloride, the urinary tract infection has not recurred. Urinary system anomalies are a common issue in genetic syndromes. To date, urinary tract abnormalities have not been described as a part of the AGS phenotype.
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institution Kabale University
issn 0031-3939
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language English
publishDate 2024-12-01
publisher Termedia Publishing House
record_format Article
series Pediatria Polska
spelling doaj-art-c2aa0c0630f54a1a9c6db06bef98e95d2025-01-27T10:39:50ZengTermedia Publishing HousePediatria Polska0031-39392300-86602024-12-0199436937310.5114/polp.2024.14639255417Nephrological problems in a child with Aicardi-Goutières syndromeMałgorzata PiejakZuzanna HusAdam BujanowiczPiotr SkrzypczykJoanna SamotyjekBeata JurkiewiczHanna Szymanik-GrzelakMariusz I. FurmanekMałgorzata Pańczyk-TomaszewskaAicardi-Goutières syndrome (AGS) is a rare genetic disorder characterized by excessive interferon-alpha production, leading to central nervous system damage, manifesting as subacute encephalopathy in infancy. Moreover, the phenotype includes frostbite-like skin lesions, hepatosplenomegaly, and endocrinopa­thies. Here we report a case of a patient with this syndrome and a concurrent urinary system malformation. A 3-year-old boy with AGS was referred to the nephrology clinic due to recurrent urinary tract infections. Diagnostics including voiding cystourethrography and renal scintigraphy revealed left-sided grade III vesicoureteral reflux and minor post-inflammatory lesions. Subsequent cystometry indicated subvesical obstruction, and posterior urethral valves were incised during cystoscopy. Since the initiation of treatment with furazidine, doxazosin and oxybutynin hydrochloride, the urinary tract infection has not recurred. Urinary system anomalies are a common issue in genetic syndromes. To date, urinary tract abnormalities have not been described as a part of the AGS phenotype.https://www.termedia.pl/Nephrological-problems-in-a-child-with-Aicardi-Goutieres-syndrome,127,55417,1,1.htmlurinary tract infection aicardi-goutières syndrome congenital anomalies of kidney and urinary syndrome
spellingShingle Małgorzata Piejak
Zuzanna Hus
Adam Bujanowicz
Piotr Skrzypczyk
Joanna Samotyjek
Beata Jurkiewicz
Hanna Szymanik-Grzelak
Mariusz I. Furmanek
Małgorzata Pańczyk-Tomaszewska
Nephrological problems in a child with Aicardi-Goutières syndrome
Pediatria Polska
urinary tract infection
aicardi-goutières syndrome
congenital anomalies of kidney and urinary syndrome
title Nephrological problems in a child with Aicardi-Goutières syndrome
title_full Nephrological problems in a child with Aicardi-Goutières syndrome
title_fullStr Nephrological problems in a child with Aicardi-Goutières syndrome
title_full_unstemmed Nephrological problems in a child with Aicardi-Goutières syndrome
title_short Nephrological problems in a child with Aicardi-Goutières syndrome
title_sort nephrological problems in a child with aicardi goutieres syndrome
topic urinary tract infection
aicardi-goutières syndrome
congenital anomalies of kidney and urinary syndrome
url https://www.termedia.pl/Nephrological-problems-in-a-child-with-Aicardi-Goutieres-syndrome,127,55417,1,1.html
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