NR 3/2004

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Zespół Alporta – opis przypadku

Alport’s syndrome – case report

Mirosław Słowik1, Grażyna Popiela1, Krzysztof Kazimierczak2,
Łukasz Szelepin1, Marek Szaliński1

1Z Katedry i Kliniki Okulistyki Akademii Medycznej we Wrocławiu
Kierownik: prof. dr hab. n. med. Maria Hanna Niżankowska
2Z Katedry i Kliniki Nefrologii i Medycyny Transplantacyjnej Akademii Medycznej we Wrocławiu
Kierownik: prof. dr hab. n. med. Marian Klinger

Summary: The history and clinical findings of 30-year man with Alport's syndrome are presented. The main features of Alport's syndrome are hereditary chronic nephritis leading to renal failure resulting in death and sensory-neural deafness. Ocular features include anterior lenticonus, macular and peripheral flecks resembling fundus albipunctatus. The etiology of this syndrome is unknown. It has been suggested that there may be a metabolic defect in the biosynthesis of collagen with changes in the glomerular basement membrane, cochlea and capsule of the lens. The retinal flecks may also be related to the different underlying glial cells, Müllers cells producing thick basement membrane. It is concluded that diagnosis of fundus albipunctatus should not be made in the absence of full renal investigation and audiometry.
Słowa kluczowe:  zespół Alporta, plamki siatkówki.
Key words: Alport's syndrome, retinal flecks.



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