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Erschienen in: Wiener klinische Wochenschrift 7-8/2016

01.04.2016 | short report

Autosomal dominant tubulointerstitial kidney disease caused by uromodulin mutations: seek and you will find

verfasst von: Gabriele Raffler, Emanuel Zitt, Hannelore Sprenger-Mähr, Mato Nagel, MD Karl Lhotta

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 7-8/2016

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Summary

Background

Uromodulin (UMOD)-associated kidney disease belongs to the group of autosomal dominant interstitial kidney diseases and is caused by mutations in the UMOD gene. Affected patients present with hyperuricemia, gout, and progressive renal failure. The disease is thought to be very rare but is probably underdiagnosed.

Methods

Two index patients from two families with tubulointerstitial nephropathy and hyperuricemia were examined, including blood and urine chemistry, ultrasound, and mutation analysis of the UMOD gene. In addition, other available family members were studied.

Results

In a 46-year-old female patient with a fractional excretion of uric acid of 3 %, analysis of the UMOD gene revealed a p.W202S missense mutation. The same mutation was found in her 72-year-old father, who suffers from gout and end-stage renal disease. The second index patient was a 47-year-old female with chronic kidney disease and gout for more than 10 years. Her fractional uric acid excretion was 3.5 %. Genetic analysis identified a novel p.H250Q UMOD mutation that was also present in her 12-year-old son, who had normal renal function and uric acid levels.

Conclusion

In patients suffering from chronic tubulointerstitial nephropathy, hyperuricemia, and a low fractional excretion of uric acid mutation, analysis of the UMOD gene should be performed to diagnose UMOD-associated kidney disease.
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Metadaten
Titel
Autosomal dominant tubulointerstitial kidney disease caused by uromodulin mutations: seek and you will find
verfasst von
Gabriele Raffler
Emanuel Zitt
Hannelore Sprenger-Mähr
Mato Nagel
MD Karl Lhotta
Publikationsdatum
01.04.2016
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 7-8/2016
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-015-0948-7

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