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cystinosis |
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cystinosis /cys·ti·no·sis/ (-o´sis) a hereditary disorder of cystine metabolism; the most common type appears in childhood with osteomalacia, aminoaciduria, phosphaturia, and deposition of cystine in tissues throughout the body, leading to renal failure.
cystinosis [sis′tinō′sis] Etymology: cystine + Gk, osis, condition a congenital disease characterized by glucosuria; proteinuria; cystine deposits in the liver, spleen, bone marrow, and cornea; rickets; excessive amounts of phosphates in the urine; and retardation of growth. Also called cystine storage disease, Fanconi's syndrome. See also cystine. cystinosis [sis″tĭ-no´sis] a hereditary inborn error of metabolism, appearing in various forms. The early onset or infantile form may appear as early as 6 months of age and is marked by osteomalacia, aminoaciduria, phosphaturia, and deposition of cystine throughout the tissues of the body, including the liver, bone marrow, kidney, spleen, and cornea, ending with chronic renal failure. It is the most common cause of fanconi syndrome (def. 2). The prognosis for children with the disease has improved greatly in recent decades. cysteamine (Cystagon) is administered to lower cystine levels within cells and may delay or prevent renal failure The benign or adult form of cystinosis does not affect the kidneys or shorten life span; deposition of cystine crystals occurs in the bone marrow, leukocytes, and corneas. The condition is usually diagnosed by ophthalmic examination. The late onset juvenile or adolescent type falls in between the other two, with ocular and renal manifestations but often no resultant renal failure.
cystinosis Molecular medicine Any of 3–types I, II, III–AR conditios characterized by impaired transport of cystine across lysosomal membranes; the accumulation of cystine in lysosomes results in crystal formation in various
tissues, in particular the kidneys; early renal tubular involvement results in Fanconi syndrome with FTT, dehydration, renal tube acidosis in infancy; cystal-related loss of glomerular function leads to uremia and death by age 10 Clinical Growth
retardation, photophobia, hypothyroidism, and in later survivors, visual impairment, corneal ulcerations, pancreatic insufficiency, distal myopathy, dysphagia, CNS involvement Management Cysteamine- β-mercaptoethylamine, or phosphocysteamine
removes cystine crystals. See Nephropathic cystinosis. Want to thank TFD for its existence? Tell a friend about us, add a link to this page, add the site to iGoogle, or visit the webmaster's page for free fun content. |
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