Primary Biliary Cirrhosis in A Patient with Turner Syndrome

An increased prevalence of X chromosome monosomy has recently been demonstrated in patients with primary biliary cirrhosis (PBC). Chronic cholestasis of unknown etiology is a common clinical feature in patients with Turner syndrome who reach the fourth and fifth decades of life. A 37-year-old patien...

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Main Authors: Piotr Milkiewicz, Jenny Heathcote
Format: Article
Language:English
Published: Wiley 2005-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2005/180515
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author Piotr Milkiewicz
Jenny Heathcote
author_facet Piotr Milkiewicz
Jenny Heathcote
author_sort Piotr Milkiewicz
collection DOAJ
description An increased prevalence of X chromosome monosomy has recently been demonstrated in patients with primary biliary cirrhosis (PBC). Chronic cholestasis of unknown etiology is a common clinical feature in patients with Turner syndrome who reach the fourth and fifth decades of life. A 37-year-old patient with Turner syndrome who presented with clinical and biochemical features of chronic cholestasis is described. Subsequent investigations confirmed the diagnosis of PBC. The patient did not respond to the medical treatment and was referred for liver transplant assessment. The present case may support the importance of X chromosome genes in the development of genetic predisposition to PBC, and emphasizes the necessity for a systematic study of the prevalence of PBC in patients with Turner syndrome.
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spelling doaj-art-e92ed711d23541e99368b8616c3663d72025-02-03T01:09:11ZengWileyCanadian Journal of Gastroenterology0835-79002005-01-01191063163310.1155/2005/180515Primary Biliary Cirrhosis in A Patient with Turner SyndromePiotr Milkiewicz0Jenny Heathcote1Toronto Western Hospital, University Health Network, Toronto, Ontario, CanadaToronto Western Hospital, University Health Network, Toronto, Ontario, CanadaAn increased prevalence of X chromosome monosomy has recently been demonstrated in patients with primary biliary cirrhosis (PBC). Chronic cholestasis of unknown etiology is a common clinical feature in patients with Turner syndrome who reach the fourth and fifth decades of life. A 37-year-old patient with Turner syndrome who presented with clinical and biochemical features of chronic cholestasis is described. Subsequent investigations confirmed the diagnosis of PBC. The patient did not respond to the medical treatment and was referred for liver transplant assessment. The present case may support the importance of X chromosome genes in the development of genetic predisposition to PBC, and emphasizes the necessity for a systematic study of the prevalence of PBC in patients with Turner syndrome.http://dx.doi.org/10.1155/2005/180515
spellingShingle Piotr Milkiewicz
Jenny Heathcote
Primary Biliary Cirrhosis in A Patient with Turner Syndrome
Canadian Journal of Gastroenterology
title Primary Biliary Cirrhosis in A Patient with Turner Syndrome
title_full Primary Biliary Cirrhosis in A Patient with Turner Syndrome
title_fullStr Primary Biliary Cirrhosis in A Patient with Turner Syndrome
title_full_unstemmed Primary Biliary Cirrhosis in A Patient with Turner Syndrome
title_short Primary Biliary Cirrhosis in A Patient with Turner Syndrome
title_sort primary biliary cirrhosis in a patient with turner syndrome
url http://dx.doi.org/10.1155/2005/180515
work_keys_str_mv AT piotrmilkiewicz primarybiliarycirrhosisinapatientwithturnersyndrome
AT jennyheathcote primarybiliarycirrhosisinapatientwithturnersyndrome