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Alport syndrome

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53: 308:. It is also found in other locations, including the alveoli of the lungs. Basement membranes are thin, sheet-like structures that separate and support cells in many tissues. Type IV collagen '112' type is found in both vertebrates and invertebrates and is the major isoform in most human basement membranes. When mutations prevent the formation of 345 type IV collagen network in the glomerulus, the 112 network, which is formed in fetal development but usually replaced by 345, persists into adult life. 29: 1611: 401:
characteristic sequence of changes from thinning of the glomerular basement membrane (GBM), developing into areas of thinning and thickening, and finally into a complex appearance with apparent splitting, often described as a 'basketweave' appearance. Early or very localised changes on this spectrum are not diagnostic, but the later changes are considered diagnostic.
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Studies of the life expectancy of patients with Alport syndrome are rare, but one 2012 study found that Alport patients receiving renal replacement therapy (dialysis or kidney transplantation) exhibited, on average, better survival compared with matched controls who had other kidney diseases (and who
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A family history of end-stage renal disease with hearing impairment is suggestive of Alport syndrome, but other conditions can cause this combination of abnormalities. Most can be distinguished by clinical features. The finding of haematuria in relatives is suggestive. While X-linked inheritance is
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Diffuse leiomyomatosis of the oesophagus and tracheobronchial tree has been reported in some families with Alport syndrome. Symptoms usually appear in late childhood and include dysphagia, postprandial vomiting, substernal or epigastric pain, recurrent bronchitis, dyspnea, cough, and stridor.
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To be helpful, kidney biopsies need to be taken before the disease is too advanced. Changes on conventional (light) microscopy are not characteristic, and the possibility of other diagnoses, particularly focal segmental glomerulosclerosis (FSGS), may be raised. Electron microscopy shows a
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These descriptions refer to 'classic' Alport syndrome, which usually causes significant disease from young adult or late childhood life. Some individuals, usually with milder mutations or 'carrier' status, develop disease later, or show only some of the features of classic disease.
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Alport syndrome can also cause hearing loss although some patients are not affected. Hearing in Alport syndrome patients is normal at birth. Hearing loss in affected patients develops progressively, usually at the stage when kidney function is normal, but there is substantial
99:—a structural material that is needed for the normal function of different parts of the body. Since type IV collagen is found in the ears, eyes, and kidneys, this explains why Alport syndrome affects different seemingly unrelated parts of the body (ears, eyes, kidneys, etc.). 102:
Depending on where the mutation is located in the genome, Alport syndrome can present itself in many forms. This includes X-linked Alport syndrome (XLAS), autosomal recessive Alport syndrome (ARAS), and autosomal dominant Alport syndrome (ADAS).
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and mid-periphery. These rarely threaten vision. Lenticonus (cone-shaped lens) can be treated by replacement of the lens, as for cataracts. Mild keratoconus can be managed with hard, scleral, piggy-back or other specialty medical
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Immunohistochemistry or immunofluorescence studies to identify the COL3-4-5 proteins in GBM can be helpful. However, these studies may be normal in some patients with Alport syndrome, especially milder variants.
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can slow the deterioration of kidney function in Alport syndrome, delaying the need for dialysis or transplantation. The development of proteinuria has been recommended as an indication for commencing treatment.
1674: 1659: 610: 1615: 165:. This becomes more severe and affects lower frequencies too. Hearing loss is not usually complete in Alport syndrome; good communication is almost always possible with the use of hearing aids. 336:
gene is sufficient to cause severe Alport syndrome, explaining why most affected males eventually develop kidney failure. In females, who have two X chromosomes, a mutation in one copy of the
73:, end-stage kidney disease, and hearing loss. Alport syndrome can also affect the eyes, though the changes do not usually affect vision, except when changes to the lens occur in later life. 841:"Mutation in the alpha 5(IV) collagen chain in juvenile-onset Alport syndrome without hearing loss or ocular lesions: detection by denaturing gradient gel electrophoresis of a PCR product" 2371: 1128:"X-linked Alport syndrome: natural history and genotype-phenotype correlations in girls and women belonging to 195 families: a "European Community Alport Syndrome Concerted Action" study" 500:
It is not known whether ACE inhibitors or other treatments affect hearing loss. For those with classic Alport syndrome, hearing aids are often required in teenage or young adult years.
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Zhang KW, Colville D, Tan R, Jones C, Alexander SI, Fletcher J, Savige J (August 2008). "The use of ocular abnormalities to diagnose X-linked Alport syndrome in children".
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Chugh KS, Sakhuja V, Agarwal A, Jha V, Joshi K, Datta BN, et al. (1993). "Hereditary nephritis (Alport's syndrome)--clinical profile and inheritance in 28 kindreds".
478:. Transplantation can rarely be associated with the formation of antibodies to type IV collagen in the donor kidney resulting in progressive graft failure as a result of 2364: 359:, have been mutated. Most often, the parents of a child with an autosomal recessive disorder are not affected but are carriers of one copy of the altered gene. 1427: 2357: 2910: 1945: 1834: 1193: 2966: 2830: 203: 2866: 2677: 366:
form are now usually categorized as other conditions. Notably, conditions associated with giant platelets and associated with mutations of
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are no longer considered to be Alport variants. However apparent autosomal dominant transmission of disease associated with mutations in
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Genetic testing plays an increasingly important role in confirming the diagnosis where the clinical features do not amount to proof.
1573:"Cyclosporine a slows the progressive renal disease of alport syndrome (X-linked hereditary nephritis): results from a canine model" 3293: 2181: 128:
may occur. Protein begins to appear in urine as the disease progresses. This is now regarded as an indication for treatment with
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the most common pattern, genetic testing is revealing that atypical presentations may be more common than currently thought.
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in the glomerulus that normally produce the type IV collagen in the glomerular basement membrane is challenging.
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The skin contains type IV collagen in a '556' network. Skin biopsies have been used to show the absence of the
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The use of eye examinations for screening has been proposed. Other tests may include a urine or blood test.
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Alport syndrome can have different inheritance patterns depending on which specific mutation is present.
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Leiomyomatosis is confirmed by computed tomography (CT) scanning or magnetic resonance imaging (MRI).
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The diagnosis can usually be made on a combination of clinical, family history, and biopsy criteria.
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gene usually results in blood in the urine, but most affected females do not develop kidney failure.
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Jais JP, Knebelmann B, Giatras I, De Marchi M, Rizzoni G, Renieri A, et al. (October 2003).
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gene. A condition is considered X-linked if the gene involved in the disorder is located on the
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Kharrat M, Makni S, Makni K, Kammoun K, Charfeddine K, Azaeiz H, et al. (September 2006).
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gene product, but these techniques are not straightforward, only apply to patients with severe
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Collagen IV-Related Nephropathies (Alport Syndrome and Thin Basement Membrane Nephropathy)
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Chen D, Jefferson B, Harvey SJ, Zheng K, Gartley CJ, Jacobs RM, Thorner PS (March 2003).
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Blood in urine is a usual feature of Alport syndrome from early infancy, identifiable on
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Temme J, Kramer A, Jager KJ, Lange K, Peters F, MĂĽller GA, et al. (December 2012).
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Nozu K, Nakanishi K, Abe Y, Udagawa T, Okada S, Okamoto T, et al. (February 2019).
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Watson, Simon; Padala, Sandeep A.; Hashmi, Muhammad F.; Bush, Jeffrey S. (2023-08-14).
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Lagona E, Tsartsali L, Kostaridou S, Skiathitou A, Georgaki E, Sotsiou F (April 2008).
363: 199: 70: 590: 296:'345' network which is an important structural component of basement membranes in the 3115: 2806: 2789: 2552: 2523: 2490: 2259: 1935: 1930: 1720: 1594: 1553: 1524:"Outcomes of male patients with Alport syndrome undergoing renal replacement therapy" 1497: 1479: 1355: 1313: 1295: 1246: 1241: 1224: 1223:
Pescucci C, Mari F, Longo I, Vogiatzi P, Caselli R, Scala E, et al. (May 2004).
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Hess K, Pfau M, Wintergerst MW, Loeffler KU, Holz FG, Herrmann P (February 2020).
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In most people with Alport syndrome (about 85%), the condition is inherited in an
132:. Progressive loss of kidney function (reflected clinically by increases in serum 3163: 2986: 2902: 2708: 2635: 2444: 2420: 1714: 1054:"A review of clinical characteristics and genetic backgrounds in Alport syndrome" 471: 417: 141: 85: 881: 3243: 3158: 3031: 2996: 2928: 2513: 2410: 2402: 2387: 2379: 2307: 1771: 195: 1807: 1782: 1668: 1351: 1069: 1023: 3277: 3238: 3001: 2961: 2889: 2876: 2774: 2769: 2741: 2483: 2468: 2100: 1852: 1725: 631: 463: 129: 2848: 2630: 1598: 1557: 1359: 1299: 1250: 1209: 1153: 1087: 1035: 979: 889: 740: 714: 683: 558: 485: 329: 1842: 1483: 1281: 930: 922: 866: 2686: 2575: 2045: 1777: 1744: 1539: 178: 158: 78: 1651: 1474: 1457: 1456:
Tryggvason K, Heikkilä P, Pettersson E, Tibell A, Thorner P (May 1997).
1428:"EdRen - Edinburgh Royal Infirmary Renal Unit - Alport anti-GBM disease" 1194:"Autosomal dominant Alport's syndrome: study of a large Tunisian family" 961: 722: 2570: 2518: 1766: 174: 133: 84:
The disorder was first identified in a British family by the physician
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has been described very rarely in patients with early-onset disease.
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Once kidney failure has developed, patients usually do well on
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is now a better alternative if kidney biopsy is not possible.
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affecting around 1 in 5,000–10,000 children, characterized by
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Hearing loss effect of Alport syndrome in 13-year-old boy
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Renal Unit at the Royal Infirmary of Edinburgh, Scotland
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Hertz JM, Thomassen M, Storey H, Flinter F (June 2012).
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https://www.columbiaeye.org/content/retinitis-pigmentosa
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has been frequently discussed, but delivering it to the
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Columbia University, Department of Ophthalmology. Link
699:"Hereditary familial congenital haemorrhagic nephritis" 206:
or staircase foveopathy are common in Alport syndrome.
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Clinical Journal of the American Society of Nephrology
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Saudi Journal of Kidney Diseases and Transplantation
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Alport syndrome is caused by an inherited defect in
1030:. Seattle (WA): University of Washington, Seattle. 838: 173:Various eye abnormalities are often seen including 658:"Skin biopsy for the diagnosis of Alport syndrome" 1458:"Can Alport syndrome be treated by gene therapy?" 1266:"Clinical utility gene card for: Alport syndrome" 809: 807: 384:Clinical utility gene card for: Alport syndrome. 88:in 1927. Alport syndrome once also had the label 3275: 2877:Danon disease/glycogen storage disease Type IIb 783: 804: 257:affecting around 1 in 5,000-10,000 children. 2982:Color blindness (red and green, but not blue) 2967:Alpha-thalassemia mental retardation syndrome 2671: 2365: 1828: 1577:Journal of the American Society of Nephrology 1132:Journal of the American Society of Nephrology 482:('Alport post-transplant anti-GBM disease'). 2867:Glucose-6-phosphate dehydrogenase deficiency 1331: 1257: 1216: 1185: 1047: 1045: 839:Zhou J, Hertz JM, Tryggvason K (June 1992). 395: 343:Alport syndrome can also be inherited in an 2106:Transient bullous dermolysis of the newborn 1160: 649: 462:(CKD) of any cause, there is evidence that 202:. Macular abnormalities such as incomplete 81:is a feature as kidney disease progresses. 2678: 2664: 2372: 2358: 2096:Recessive dystrophic epidermolysis bullosa 1835: 1821: 1808:GeneReview/NIH/UW entry on Alport syndrome 1627:United States National Library of Medicine 1172:Online Mendelian Inheritance in Man (OMIM) 509:also received renal replacement therapy). 416:mutations, and are not widely available. 51: 27: 2727:X-linked severe combined immunodeficiency 1588: 1547: 1473: 1289: 1240: 1143: 1077: 1042: 969: 856: 730: 673: 555:"Diseases of the Kidney: Alport Syndrome" 115: 786:"Alport SyndromeL Clinician information" 577: 575: 3121:X-linked nephrogenic diabetes insipidus 3046:Hypohidrotic ectodermal dysplasia (EDA) 1021: 753: 311: 288:, three of six human genes involved in 253:Alport Syndrome is a relatively common 3276: 3056:X-linked endothelial corneal dystrophy 2699: 2685: 2621: 2543: 1941:Spondyloepiphyseal dysplasia congenita 696: 225: 3201: 3200: 3012:Charcot–Marie–Tooth disease (CMTX2-3) 2836:Ornithine transcarbamylase deficiency 2812:X-linked adrenal hypoplasia congenita 2698: 2659: 2353: 2222:Ullrich congenital muscular dystrophy 2066:Ullrich congenital muscular dystrophy 1816: 1168:"Alport Syndrome, Autosomal Dominant" 911:Nephrology, Dialysis, Transplantation 572: 106: 2747:X-linked lymphoproliferative disease 2717:Chronic granulomatous disease (CYBB) 2303:Congenital stromal corneal dystrophy 1564: 1502:The Lecturio Medical Concept Library 1318:The Lecturio Medical Concept Library 1106:The Lecturio Medical Concept Library 1058:Clinical and Experimental Nephrology 779: 777: 775: 626: 624: 3093:Emery–Dreifuss muscular dystrophy 1 2187:Otospondylomegaepiphyseal dysplasia 2166:Schmid metaphyseal chondrodysplasia 13: 2802:Spinal and bulbar muscular atrophy 1590:10.1097/01.ASN.0000046964.15831.16 1270:European Journal of Human Genetics 1145:10.1097/01.ASN.0000090034.71205.74 845:American Journal of Human Genetics 432: 248: 14: 3325: 2872:Pyruvate dehydrogenase deficiency 2182:Weissenbacher–ZweymĂĽller syndrome 2091:Epidermolysis bullosa dystrophica 1946:Spondyloepimetaphyseal dysplasia, 1637: 1631: (Genetics Home Reference). 772: 621: 524:Samoyed hereditary glomerulopathy 495: 454:Kidney disease and kidney failure 423: 324:pattern, due to mutations in the 216: 189:as well as retinal flecks in the 3314:Diseases named after discoverers 2952:X-linked intellectual disability 2282:Junctional epidermolysis bullosa 1614: This article incorporates 1609: 1242:10.1111/j.1523-1755.2004.00560.x 3294:Syndromes affecting the kidneys 2798:Androgen insensitivity syndrome 2287:Laryngoonychocutaneous syndrome 1515: 1490: 1449: 1420: 1391: 1374: 1306: 1119: 1094: 1015: 998: 986: 937: 902: 873: 832: 209:It may also be associated with 151: 3174:Simpson–Golabi–Behmel syndrome 2384:malformations and deformations 792:. Renal Rare Diseases Registry 784:UK Alport Group (2013-07-25). 747: 690: 604: 547: 535:Thin basement membrane disease 440: 347:pattern if both copies of the 168: 1: 3143:AMELX Amelogenesis imperfecta 3083:Centronuclear myopathy (MTM1) 2780:X-linked sideroblastic anemia 2450:Multicystic dysplastic kidney 2144:Multiple epiphyseal dysplasia 540: 265:Alport syndrome is caused by 3169:Smith–Fineman–Myers syndrome 3017:Pelizaeus–Merzbacher disease 2911:Purine–pyrimidine metabolism 1022:Kashtan CE (February 2019). 616:Dorland's Medical Dictionary 503: 458:In addition to measures for 448: 387: 7: 3299:Syndromes affecting hearing 3259:Craniofrontonasal dysplasia 3184:Nasodigitoacoustic syndrome 2732:X-linked agammaglobulinemia 512: 260: 10: 3330: 3254:Orofaciodigital syndrome 1 3088:Conradi–HĂĽnermann syndrome 2841:Oculocerebrorenal syndrome 1174:. Johns Hopkins University 756:"Types of Alport Syndrome" 636:National Kidney Foundation 583:"What is Alport syndrome?" 138:glomerular filtration rate 136:or decreases in estimated 3214:X-linked hypophosphatemia 3209: 3196: 3151: 3129: 3101: 3074:Becker muscular dystrophy 3064: 3030: 2941: 2820: 2788: 2760: 2737:Hyper-IgM syndrome type 1 2707: 2694: 2614: 2598: 2586:Penoscrotal transposition 2581:Posterior urethral valves 2561: 2536: 2504: 2440:Polycystic kidney disease 2401: 2394: 2335: 2295: 2272: 2252: 2236: 2203: 2174: 2158: 2136: 2114: 2080: 2044: 2019: 2000: 1970: 1904: 1868: 1859: 1735: 1645: 1382:Alport Syndrome~treatment 1352:10.1007/s00467-008-0759-4 1070:10.1007/s10157-018-1629-4 950:Invest Ophthalmol Vis Sci 884:. StatPearls Publishing. 396:Biopsy of kidneys or skin 40: 35: 26: 21: 3179:Mohr–Tranebjærg syndrome 2722:Wiskott–Aldrich syndrome 1006:Alport Syndrome~clinical 697:Alport AC (March 1927). 362:Past descriptions of an 3219:Focal dermal hypoplasia 2933:Occipital horn syndrome 2862:Carbohydrate metabolism 2455:Medullary sponge kidney 1879:Osteogenesis imperfecta 703:British Medical Journal 3234:Incontinentia pigmenti 3041:Dyskeratosis congenita 2885:Lipid storage disorder 2807:KAL1 Kallmann syndrome 2194:Type XI collagenopathy 2030:Ehlers–Danlos syndrome 1981:Ehlers–Danlos syndrome 1961:Type II collagenopathy 1890:Ehlers–Danlos syndrome 1616:public domain material 715:10.1136/bmj.1.3454.504 460:chronic kidney disease 163:sensorineural deafness 116:Chronic kidney disease 3304:Syndromes with tumors 2957:Coffin–Lowry syndrome 2898:Mucopolysaccharidosis 2426:Papillorenal syndrome 2313:Urbach–Wiethe disease 2150:(types 2, 3, & 6) 1992:Sack–Barabas syndrome 1896:(types 1, 2, & 7) 1282:10.1038/ejhg.2011.237 754:Zaunbrecher, Nicole. 3249:Lujan–Fryns syndrome 2916:Lesch–Nyhan syndrome 2854:Adrenoleukodystrophy 2752:Properdin deficiency 2606:Prune belly syndrome 2479:Supernumerary kidney 1540:10.2215/CJN.02190312 1462:Kidney International 1340:Pediatric Nephrology 1229:Kidney International 760:Alport Syndrome News 480:Goodpasture syndrome 312:Inheritance patterns 211:retinitis pigmentosa 90:hereditary nephritis 3051:X-linked ichthyosis 1475:10.1038/ki.1997.205 962:10.1167/iovs.61.2.5 923:10.1093/ndt/8.8.690 345:autosomal recessive 226:Other abnormalities 3224:Fragile X syndrome 3034:and related tissue 2701:X-linked recessive 2244:Bullous pemphigoid 1915:Hypochondrogenesis 1736:External resources 364:autosomal dominant 200:corneal transplant 107:Signs and symptoms 71:glomerulonephritis 3271: 3270: 3267: 3266: 3203:X-linked dominant 3192: 3191: 3152:No primary system 2653: 2652: 2649: 2648: 2594: 2593: 2553:Bladder exstrophy 2532: 2531: 2524:Duplicated ureter 2347: 2346: 2268: 2267: 2260:Knobloch syndrome 2036:(types 1 & 2) 1987:(types 3 & 4) 1936:Marshall syndrome 1931:Stickler syndrome 1803: 1802: 1498:"Alport Syndrome" 1399:"Alport syndrome" 1314:"Alport Syndrome" 1102:"Alport Syndrome" 1024:"Alport Syndrome" 882:"Alport Syndrome" 815:"Alport syndrome" 632:"Alport Syndrome" 611:"Alport syndrome" 530:Fechtner syndrome 476:kidney transplant 355:gene, located on 290:basement membrane 231:Aortic dissection 204:foveal hypoplasia 146:kidney transplant 60: 59: 16:Medical condition 3321: 3289:Collagen disease 3229:Aicardi syndrome 3198: 3197: 2696: 2695: 2680: 2673: 2666: 2657: 2656: 2619: 2618: 2541: 2540: 2474:Nephronophthisis 2464:Horseshoe kidney 2416:Renal hypoplasia 2399: 2398: 2374: 2367: 2360: 2351: 2350: 2340:fibrous proteins 2325:DFNA8/12, DFNB21 2229: 2226: 2218: 2215: 2211:Bethlem myopathy 2191: 2151: 2148: 2129: 2126: 2122:Fuchs' dystrophy 2073: 2070: 2062: 2059: 2055:Bethlem myopathy 2037: 2034: 1988: 1985: 1957:Kniest dysplasia 1952: 1951:(Strudwick type) 1949: 1926: 1923: 1897: 1894: 1886: 1883: 1866: 1865: 1861:Collagen disease 1837: 1830: 1823: 1814: 1813: 1643: 1642: 1630: 1613: 1612: 1603: 1602: 1592: 1568: 1562: 1561: 1551: 1519: 1513: 1512: 1510: 1508: 1494: 1488: 1487: 1477: 1453: 1447: 1446: 1444: 1443: 1434:. Archived from 1424: 1418: 1417: 1415: 1414: 1405:. Archived from 1395: 1389: 1378: 1372: 1371: 1335: 1329: 1328: 1326: 1324: 1310: 1304: 1303: 1293: 1261: 1255: 1254: 1244: 1220: 1214: 1213: 1189: 1183: 1182: 1180: 1179: 1164: 1158: 1157: 1147: 1123: 1117: 1116: 1114: 1112: 1098: 1092: 1091: 1081: 1049: 1040: 1039: 1019: 1013: 1002: 996: 990: 984: 983: 973: 941: 935: 934: 906: 900: 899: 897: 896: 877: 871: 870: 860: 836: 830: 829: 827: 825: 811: 802: 801: 799: 797: 781: 770: 769: 767: 766: 751: 745: 744: 734: 694: 688: 687: 677: 653: 647: 646: 644: 643: 628: 619: 608: 602: 601: 599: 598: 589:. Archived from 579: 570: 569: 567: 566: 557:. Archived from 551: 294:type IV collagen 255:genetic disorder 97:type IV collagen 67:genetic disorder 56: 55: 47:Medical genetics 31: 19: 18: 3329: 3328: 3324: 3323: 3322: 3320: 3319: 3318: 3284:Kidney diseases 3274: 3273: 3272: 3263: 3205: 3188: 3164:McLeod syndrome 3147: 3125: 3111:Alport syndrome 3097: 3060: 3026: 2987:Ocular albinism 2937: 2903:Hunter syndrome 2816: 2784: 2756: 2703: 2690: 2684: 2654: 2645: 2636:Urachal fistula 2610: 2590: 2557: 2528: 2500: 2496:Alport syndrome 2445:Meckel syndrome 2421:Potter sequence 2390: 2378: 2348: 2343: 2331: 2291: 2264: 2248: 2232: 2227: 2224: 2216: 2213: 2199: 2189: 2170: 2154: 2149: 2146: 2132: 2127: 2124: 2110: 2076: 2071: 2068: 2060: 2057: 2040: 2035: 2032: 2015: 2011:Alport syndrome 1996: 1986: 1983: 1966: 1950: 1947: 1924: 1921: 1920:Achondrogenesis 1900: 1895: 1892: 1884: 1881: 1855: 1841: 1804: 1799: 1798: 1772:Alport syndrome 1731: 1730: 1654: 1640: 1634: 1622:Alport syndrome 1619: 1610: 1607: 1606: 1569: 1565: 1534:(12): 1969–76. 1520: 1516: 1506: 1504: 1496: 1495: 1491: 1454: 1450: 1441: 1439: 1426: 1425: 1421: 1412: 1410: 1397: 1396: 1392: 1379: 1375: 1336: 1332: 1322: 1320: 1312: 1311: 1307: 1262: 1258: 1235:(5): 1598–603. 1221: 1217: 1190: 1186: 1177: 1175: 1166: 1165: 1161: 1138:(10): 2603–10. 1124: 1120: 1110: 1108: 1100: 1099: 1095: 1050: 1043: 1020: 1016: 1003: 999: 991: 987: 942: 938: 907: 903: 894: 892: 878: 874: 851:(6): 1291–300. 837: 833: 823: 821: 813: 812: 805: 795: 793: 782: 773: 764: 762: 752: 748: 709:(3454): 504–6. 695: 691: 654: 650: 641: 639: 630: 629: 622: 609: 605: 596: 594: 587:Alport syndrome 581: 580: 573: 564: 562: 553: 552: 548: 543: 515: 506: 498: 456: 451: 443: 435: 433:Genetic testing 426: 418:Genetic testing 398: 390: 314: 263: 251: 249:Pathophysiology 228: 219: 187:corneal erosion 171: 154: 122:urine dipsticks 118: 109: 86:Cecil A. Alport 63:Alport syndrome 50: 22:Alport syndrome 17: 12: 11: 5: 3327: 3317: 3316: 3311: 3309:Rare syndromes 3306: 3301: 3296: 3291: 3286: 3269: 3268: 3265: 3264: 3262: 3261: 3256: 3251: 3246: 3244:CHILD syndrome 3241: 3236: 3231: 3226: 3221: 3216: 3210: 3207: 3206: 3194: 3193: 3190: 3189: 3187: 3186: 3181: 3176: 3171: 3166: 3161: 3159:Barth syndrome 3155: 3153: 3149: 3148: 3146: 3145: 3139: 3137: 3127: 3126: 3124: 3123: 3118: 3116:Dent's disease 3113: 3107: 3105: 3099: 3098: 3096: 3095: 3090: 3085: 3080: 3070: 3068: 3062: 3061: 3059: 3058: 3053: 3048: 3043: 3037: 3035: 3028: 3027: 3025: 3024: 3019: 3014: 3005: 3004: 2999: 2997:Norrie disease 2994: 2984: 2979:Eye disorders: 2975: 2974: 2969: 2964: 2959: 2947: 2945: 2943:Nervous system 2939: 2938: 2936: 2935: 2929:Menkes disease 2919: 2918: 2906: 2905: 2893: 2892: 2880: 2879: 2874: 2869: 2857: 2856: 2844: 2843: 2838: 2826: 2824: 2818: 2817: 2815: 2814: 2809: 2804: 2794: 2792: 2786: 2785: 2783: 2782: 2777: 2772: 2766: 2764: 2758: 2757: 2755: 2754: 2749: 2744: 2739: 2734: 2729: 2724: 2719: 2713: 2711: 2705: 2704: 2692: 2691: 2683: 2682: 2675: 2668: 2660: 2651: 2650: 2647: 2646: 2644: 2643: 2638: 2633: 2627: 2625: 2616: 2612: 2611: 2609: 2608: 2602: 2600: 2596: 2595: 2592: 2591: 2589: 2588: 2583: 2578: 2573: 2567: 2565: 2559: 2558: 2556: 2555: 2549: 2547: 2538: 2534: 2533: 2530: 2529: 2527: 2526: 2521: 2516: 2514:Ectopic ureter 2510: 2508: 2502: 2501: 2499: 2498: 2493: 2491:Dent's disease 2487: 2486: 2481: 2476: 2471: 2466: 2460: 2459: 2458: 2457: 2452: 2447: 2442: 2429: 2428: 2423: 2418: 2413: 2411:Renal agenesis 2407: 2405: 2396: 2392: 2391: 2388:urinary system 2377: 2376: 2369: 2362: 2354: 2345: 2344: 2336: 2333: 2332: 2330: 2329: 2328: 2327: 2315: 2310: 2308:Raine syndrome 2305: 2299: 2297: 2293: 2292: 2290: 2289: 2284: 2278: 2276: 2270: 2269: 2266: 2265: 2263: 2262: 2256: 2254: 2250: 2249: 2247: 2246: 2240: 2238: 2234: 2233: 2231: 2230: 2219: 2207: 2205: 2201: 2200: 2198: 2197: 2184: 2178: 2176: 2172: 2171: 2169: 2168: 2162: 2160: 2156: 2155: 2153: 2152: 2140: 2138: 2134: 2133: 2131: 2130: 2118: 2116: 2112: 2111: 2109: 2108: 2103: 2098: 2093: 2087: 2085: 2078: 2077: 2075: 2074: 2063: 2051: 2049: 2042: 2041: 2039: 2038: 2026: 2024: 2017: 2016: 2014: 2013: 2007: 2005: 1998: 1997: 1995: 1994: 1989: 1977: 1975: 1968: 1967: 1965: 1964: 1954: 1943: 1938: 1933: 1928: 1917: 1911: 1909: 1902: 1901: 1899: 1898: 1887: 1875: 1873: 1863: 1857: 1856: 1853:scleroproteins 1840: 1839: 1832: 1825: 1817: 1811: 1810: 1801: 1800: 1797: 1796: 1785: 1774: 1763: 1752: 1740: 1739: 1737: 1733: 1732: 1729: 1728: 1717: 1706: 1686: 1671: 1655: 1650: 1649: 1647: 1646:Classification 1639: 1638:External links 1636: 1605: 1604: 1563: 1514: 1489: 1448: 1419: 1390: 1373: 1346:(8): 1245–50. 1330: 1305: 1256: 1215: 1184: 1159: 1118: 1093: 1064:(2): 158–168. 1041: 1014: 997: 985: 936: 901: 872: 831: 803: 771: 746: 689: 648: 620: 603: 571: 545: 544: 542: 539: 538: 537: 532: 527: 521: 514: 511: 505: 502: 497: 494: 464:ACE inhibitors 455: 452: 450: 447: 442: 439: 434: 431: 425: 424:Family history 422: 397: 394: 389: 386: 382: 381: 360: 341: 313: 310: 262: 259: 250: 247: 227: 224: 218: 217:Leiomyomatosis 215: 196:contact lenses 170: 167: 153: 150: 130:ACE inhibitors 117: 114: 108: 105: 77:is universal. 75:Blood in urine 58: 57: 44: 38: 37: 33: 32: 24: 23: 15: 9: 6: 4: 3: 2: 3326: 3315: 3312: 3310: 3307: 3305: 3302: 3300: 3297: 3295: 3292: 3290: 3287: 3285: 3282: 3281: 3279: 3260: 3257: 3255: 3252: 3250: 3247: 3245: 3242: 3240: 3239:Rett syndrome 3237: 3235: 3232: 3230: 3227: 3225: 3222: 3220: 3217: 3215: 3212: 3211: 3208: 3204: 3199: 3195: 3185: 3182: 3180: 3177: 3175: 3172: 3170: 3167: 3165: 3162: 3160: 3157: 3156: 3154: 3150: 3144: 3141: 3140: 3138: 3136: 3132: 3128: 3122: 3119: 3117: 3114: 3112: 3109: 3108: 3106: 3104: 3100: 3094: 3091: 3089: 3086: 3084: 3081: 3079: 3075: 3072: 3071: 3069: 3067: 3066:Neuromuscular 3063: 3057: 3054: 3052: 3049: 3047: 3044: 3042: 3039: 3038: 3036: 3033: 3029: 3023: 3020: 3018: 3015: 3013: 3010: 3007: 3006: 3003: 3002:Choroideremia 3000: 2998: 2995: 2992: 2988: 2985: 2983: 2980: 2977: 2976: 2973: 2970: 2968: 2965: 2963: 2962:MASA syndrome 2960: 2958: 2955: 2953: 2949: 2948: 2946: 2944: 2940: 2934: 2930: 2927: 2925: 2921: 2920: 2917: 2914: 2912: 2908: 2907: 2904: 2901: 2899: 2895: 2894: 2891: 2890:Fabry disease 2887: 2886: 2882: 2881: 2878: 2875: 2873: 2870: 2868: 2865: 2863: 2859: 2858: 2855: 2852: 2850: 2846: 2845: 2842: 2839: 2837: 2834: 2832: 2828: 2827: 2825: 2823: 2819: 2813: 2810: 2808: 2805: 2803: 2799: 2796: 2795: 2793: 2791: 2787: 2781: 2778: 2776: 2775:Haemophilia B 2773: 2771: 2770:Haemophilia A 2768: 2767: 2765: 2763: 2759: 2753: 2750: 2748: 2745: 2743: 2740: 2738: 2735: 2733: 2730: 2728: 2725: 2723: 2720: 2718: 2715: 2714: 2712: 2710: 2706: 2702: 2697: 2693: 2688: 2681: 2676: 2674: 2669: 2667: 2662: 2661: 2658: 2642: 2641:Urachal sinus 2639: 2637: 2634: 2632: 2629: 2628: 2626: 2624: 2620: 2617: 2613: 2607: 2604: 2603: 2601: 2597: 2587: 2584: 2582: 2579: 2577: 2574: 2572: 2569: 2568: 2566: 2564: 2560: 2554: 2551: 2550: 2548: 2546: 2542: 2539: 2535: 2525: 2522: 2520: 2517: 2515: 2512: 2511: 2509: 2507: 2503: 2497: 2494: 2492: 2489: 2488: 2485: 2484:Pelvic kidney 2482: 2480: 2477: 2475: 2472: 2470: 2469:Renal ectopia 2467: 2465: 2462: 2461: 2456: 2453: 2451: 2448: 2446: 2443: 2441: 2438: 2437: 2436: 2435: 2431: 2430: 2427: 2424: 2422: 2419: 2417: 2414: 2412: 2409: 2408: 2406: 2404: 2400: 2397: 2393: 2389: 2385: 2382: 2375: 2370: 2368: 2363: 2361: 2356: 2355: 2352: 2342: 2341: 2334: 2326: 2323: 2322: 2321: 2320: 2316: 2314: 2311: 2309: 2306: 2304: 2301: 2300: 2298: 2294: 2288: 2285: 2283: 2280: 2279: 2277: 2275: 2271: 2261: 2258: 2257: 2255: 2251: 2245: 2242: 2241: 2239: 2235: 2223: 2220: 2212: 2209: 2208: 2206: 2202: 2195: 2188: 2185: 2183: 2180: 2179: 2177: 2173: 2167: 2164: 2163: 2161: 2157: 2145: 2142: 2141: 2139: 2135: 2123: 2120: 2119: 2117: 2113: 2107: 2104: 2102: 2101:Bart syndrome 2099: 2097: 2094: 2092: 2089: 2088: 2086: 2083: 2079: 2067: 2064: 2056: 2053: 2052: 2050: 2047: 2043: 2031: 2028: 2027: 2025: 2022: 2018: 2012: 2009: 2008: 2006: 2003: 1999: 1993: 1990: 1982: 1979: 1978: 1976: 1973: 1969: 1962: 1958: 1955: 1953: 1944: 1942: 1939: 1937: 1934: 1932: 1929: 1927: 1918: 1916: 1913: 1912: 1910: 1907: 1903: 1891: 1888: 1880: 1877: 1876: 1874: 1871: 1867: 1864: 1862: 1858: 1854: 1850: 1846: 1838: 1833: 1831: 1826: 1824: 1819: 1818: 1815: 1809: 1806: 1805: 1795: 1791: 1790: 1786: 1784: 1780: 1779: 1775: 1773: 1769: 1768: 1764: 1762: 1758: 1757: 1753: 1751: 1747: 1746: 1742: 1741: 1738: 1734: 1727: 1723: 1722: 1718: 1716: 1712: 1711: 1707: 1705: 1702: 1699: 1696: 1692: 1691: 1687: 1685: 1681: 1680: 1676: 1672: 1670: 1666: 1665: 1661: 1657: 1656: 1653: 1648: 1644: 1635: 1632: 1628: 1624: 1623: 1617: 1600: 1596: 1591: 1586: 1582: 1578: 1574: 1567: 1559: 1555: 1550: 1545: 1541: 1537: 1533: 1529: 1525: 1518: 1503: 1499: 1493: 1485: 1481: 1476: 1471: 1468:(5): 1493–9. 1467: 1463: 1459: 1452: 1438:on 2016-02-10 1437: 1433: 1432:www.edren.org 1429: 1423: 1409:on 2010-04-17 1408: 1404: 1400: 1394: 1388: 1384: 1383: 1377: 1369: 1365: 1361: 1357: 1353: 1349: 1345: 1341: 1334: 1319: 1315: 1309: 1301: 1297: 1292: 1287: 1283: 1279: 1275: 1271: 1267: 1260: 1252: 1248: 1243: 1238: 1234: 1230: 1226: 1219: 1211: 1207: 1203: 1199: 1195: 1188: 1173: 1169: 1163: 1155: 1151: 1146: 1141: 1137: 1133: 1129: 1122: 1107: 1103: 1097: 1089: 1085: 1080: 1075: 1071: 1067: 1063: 1059: 1055: 1048: 1046: 1037: 1033: 1029: 1025: 1018: 1012: 1008: 1007: 1001: 995: 989: 981: 977: 972: 967: 963: 959: 955: 951: 947: 940: 932: 928: 924: 920: 916: 912: 905: 891: 887: 883: 876: 868: 864: 859: 854: 850: 846: 842: 835: 820: 816: 810: 808: 791: 787: 780: 778: 776: 761: 757: 750: 742: 738: 733: 728: 724: 720: 716: 712: 708: 704: 700: 693: 685: 681: 676: 671: 667: 663: 659: 652: 637: 633: 627: 625: 618: 617: 612: 607: 593:on 2019-01-06 592: 588: 584: 578: 576: 561:on 2004-06-12 560: 556: 550: 546: 536: 533: 531: 528: 525: 522: 520: 517: 516: 510: 501: 493: 491: 487: 483: 481: 477: 473: 468: 465: 461: 446: 438: 430: 421: 419: 415: 411: 406: 402: 393: 385: 379: 375: 371: 370: 365: 361: 358: 354: 350: 346: 342: 339: 335: 331: 327: 323: 319: 318: 317: 309: 307: 303: 299: 295: 291: 287: 286: 281: 280: 275: 273: 268: 258: 256: 246: 244: 240: 236: 232: 223: 214: 212: 207: 205: 201: 197: 192: 188: 184: 180: 176: 166: 164: 160: 149: 147: 143: 139: 135: 131: 127: 123: 113: 104: 100: 98: 93: 91: 87: 82: 80: 76: 72: 68: 64: 54: 48: 45: 43: 39: 34: 30: 25: 20: 3110: 3008: 2978: 2950: 2922: 2909: 2896: 2883: 2860: 2849:Dyslipidemia 2847: 2829: 2631:Urachal cyst 2495: 2432: 2337: 2317: 2010: 1885:(types I–IV) 1843:Diseases of 1787: 1776: 1765: 1754: 1743: 1719: 1708: 1688: 1673: 1658: 1633: 1621: 1608: 1583:(3): 690–8. 1580: 1576: 1566: 1531: 1527: 1517: 1505:. Retrieved 1501: 1492: 1465: 1461: 1451: 1440:. Retrieved 1436:the original 1431: 1422: 1411:. Retrieved 1407:the original 1402: 1393: 1380: 1376: 1343: 1339: 1333: 1321:. Retrieved 1317: 1308: 1273: 1269: 1259: 1232: 1228: 1218: 1204:(3): 320–5. 1201: 1197: 1187: 1176:. Retrieved 1171: 1162: 1135: 1131: 1121: 1109:. Retrieved 1105: 1096: 1061: 1057: 1028:Gene Reviews 1027: 1017: 1004: 1000: 988: 953: 949: 939: 917:(8): 690–5. 914: 910: 904: 893:. Retrieved 875: 848: 844: 834: 822:. Retrieved 818: 794:. Retrieved 789: 763:. Retrieved 759: 749: 706: 702: 692: 668:(2): 116–8. 665: 661: 651: 640:. Retrieved 638:. 2015-12-24 635: 614: 606: 595:. Retrieved 591:the original 586: 563:. Retrieved 559:the original 549: 507: 499: 496:Hearing loss 486:Gene therapy 484: 469: 457: 444: 436: 427: 413: 409: 407: 403: 399: 391: 383: 377: 373: 367: 357:chromosome 2 352: 348: 337: 333: 330:X chromosome 325: 315: 283: 277: 271: 264: 252: 242: 238: 229: 220: 208: 172: 155: 152:Hearing loss 119: 110: 101: 94: 89: 83: 62: 61: 2762:Hematologic 2576:Hypospadias 1778:GeneReviews 1745:MedlinePlus 1715:y D009394 y 819:MedlinePlus 796:17 February 662:Hippokratia 441:Other tests 380:does occur. 179:keratoconus 169:Eye changes 159:proteinuria 79:Proteinuria 3278:Categories 2831:Amino acid 2571:Epispadias 2519:Megaureter 2381:Congenital 1851:and other 1767:Patient UK 1721:DiseasesDB 1442:2016-02-17 1413:2010-03-24 1276:(6): 713. 1178:2008-11-24 895:2024-06-27 765:2022-08-01 642:2022-08-01 597:2019-01-06 565:2004-06-16 541:References 474:or with a 235:Leiomyomas 175:lenticonus 134:creatinine 126:haematuria 2822:Metabolic 2790:Endocrine 2689:disorders 2615:Vestigial 2395:Abdominal 2338:see also 1756:eMedicine 1387:eMedicine 1011:eMedicine 790:RareRenal 504:Prognosis 490:podocytes 449:Treatment 388:Diagnosis 267:mutations 183:cataracts 42:Specialty 3103:Urologic 3078:Duchenne 2687:X-linked 2228:(type 2) 2217:(type 2) 2128:(type 1) 2072:(type 1) 2061:(type 1) 1925:(type 2) 1845:collagen 1789:Orphanet 1599:12595505 1558:22997344 1368:28650514 1360:18343956 1300:22166944 1251:15086897 1210:16970251 1154:14514738 1088:30128941 1036:20301386 980:32031577 956:(2): 5. 890:29262041 741:20773074 723:25322864 684:18923659 513:See also 472:dialysis 322:X-linked 300:, inner 261:Genetics 142:dialysis 2924:Mineral 2623:Urachus 2563:Urethra 2545:Bladder 2274:Laminin 1849:laminin 1761:med/110 1549:3513741 1507:28 June 1484:9150464 1291:3355248 1111:28 June 1079:6510800 971:7324255 931:8414153 867:1598909 858:1682577 824:28 June 732:2454341 675:2464308 519:AMMECR1 245:genes. 3009:Other: 2709:Immune 2537:Pelvic 2506:Ureter 2434:cystic 2403:Kidney 2253:COL18: 2237:COL17: 2225:  2214:  2204:COL12: 2190:  2175:COL11: 2159:COL10: 2147:  2125:  2069:  2058:  2033:  1984:  1948:  1922:  1893:  1882:  1750:000504 1704:300195 1701:203780 1698:104200 1695:301050 1684:759.89 1597:  1556:  1546:  1482:  1366:  1358:  1323:8 July 1298:  1288:  1249:  1208:  1152:  1086:  1076:  1034:  978:  968:  929:  888:  865:  855:  739:  729:  721:  682:  672:  414:COL4A5 410:COL4A5 378:COL4A4 374:COL4A3 353:COL4A4 349:COL4A3 338:COL4A5 334:COL4A5 326:COL4A5 304:, and 298:kidney 285:COL4A5 282:, and 279:COL4A4 243:COL4A6 239:COL4A5 191:macula 49:  3135:tooth 3022:SMAX2 2319:TECTA 2296:Other 2137:COL9: 2115:COL8: 1669:Q87.8 1618:from 1364:S2CID 719:JSTOR 144:or a 65:is a 3131:Bone 3032:Skin 2972:PHF8 2742:IPEX 2599:Both 2082:COL7 2046:COL6 2021:COL5 2002:COL4 1972:COL3 1906:COL2 1870:COL1 1710:MeSH 1690:OMIM 1679:9-CM 1595:PMID 1554:PMID 1509:2021 1480:PMID 1356:PMID 1325:2021 1296:PMID 1247:PMID 1206:PMID 1150:PMID 1113:2021 1084:PMID 1032:PMID 976:PMID 927:PMID 886:PMID 863:PMID 826:2021 798:2016 737:PMID 680:PMID 376:and 369:MYH9 241:and 185:and 2386:of 1726:454 1675:ICD 1660:ICD 1585:doi 1544:PMC 1536:doi 1470:doi 1385:at 1348:doi 1286:PMC 1278:doi 1237:doi 1140:doi 1074:PMC 1066:doi 1009:at 966:PMC 958:doi 919:doi 853:PMC 727:PMC 711:doi 670:PMC 613:at 351:or 306:eye 302:ear 274:4A3 272:COL 269:in 3280:: 2888:: 1847:, 1794:63 1792:: 1781:: 1770:: 1759:: 1748:: 1724:: 1713:: 1693:: 1682:: 1667:: 1664:10 1625:. 1593:. 1581:14 1579:. 1575:. 1552:. 1542:. 1530:. 1526:. 1500:. 1478:. 1466:51 1464:. 1460:. 1430:. 1401:. 1362:. 1354:. 1344:23 1342:. 1316:. 1294:. 1284:. 1274:20 1272:. 1268:. 1245:. 1233:65 1231:. 1227:. 1202:17 1200:. 1196:. 1170:. 1148:. 1136:14 1134:. 1130:. 1104:. 1082:. 1072:. 1062:23 1060:. 1056:. 1044:^ 974:. 964:. 954:61 952:. 948:. 925:. 913:. 861:. 849:50 847:. 843:. 817:. 806:^ 788:. 774:^ 758:. 735:. 725:. 717:. 705:. 701:. 678:. 666:12 664:. 660:. 634:. 623:^ 585:. 574:^ 276:, 213:. 181:, 177:, 148:. 3133:/ 3076:/ 2993:) 2991:1 2989:( 2954:: 2931:/ 2926:: 2913:: 2900:: 2864:: 2851:: 2833:: 2800:/ 2679:e 2672:t 2665:v 2373:e 2366:t 2359:v 2196:) 2192:( 2084:: 2048:: 2023:: 2004:: 1974:: 1963:) 1959:( 1908:: 1872:: 1836:e 1829:t 1822:v 1677:- 1662:- 1652:D 1629:. 1601:. 1587:: 1560:. 1538:: 1532:7 1511:. 1486:. 1472:: 1445:. 1416:. 1370:. 1350:: 1327:. 1302:. 1280:: 1253:. 1239:: 1212:. 1181:. 1156:. 1142:: 1115:. 1090:. 1068:: 1038:. 982:. 960:: 933:. 921:: 915:8 898:. 869:. 828:. 800:. 768:. 743:. 713:: 707:1 686:. 645:. 600:. 568:.

Index


Specialty
Medical genetics
Edit this on Wikidata
genetic disorder
glomerulonephritis
Blood in urine
Proteinuria
Cecil A. Alport
type IV collagen
urine dipsticks
haematuria
ACE inhibitors
creatinine
glomerular filtration rate
dialysis
kidney transplant
proteinuria
sensorineural deafness
lenticonus
keratoconus
cataracts
corneal erosion
macula
contact lenses
corneal transplant
foveal hypoplasia
retinitis pigmentosa
Aortic dissection
Leiomyomas

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