释义 |
Zellweger syndrome
Zellweger syndrome [zel´weg-er] an autosomal recessive error of metabolism" >inborn error of metabolism characterized by a prominent forehead, large anterior fontanelle, poor muscle tone, hepatomegaly, polycystic kidneys, jaundice, and often calcifications in the cartilaginous ends of long bones. Most affected children die in early infancy. Called also cerebrohepatorenal syndrome. See illustration.A, Facies of an infant with Zellweger syndrome showing a prominent forehead. B, Radiography of the knee of a newborn infant with Zellweger syndrome showing abnormal punctate calcification of the distal femoral epiphyses. From Mueller and Young, 2001.Zell·we·ger syn·drome (zel'weg-ĕr), a metabolic disorder with neonatal onset, characterized by distinctive facies, muscular hypotonia, hepatomegaly with jaundice, renal cysts, epiphyseal stippling of the patellae, cerebral dysmyelination, and neuronal migration defects and psychomotor retardation; there is a perturbation in peroxisomal biogenesis; autosomal recessive inheritance, caused by mutation in any one of several peroxin (PEX) genes on chromosome 6, 7, 8, or 12. Synonym(s): cerebrohepatorenal syndrome Zell·we·ger syn·drome (zel'weg-ĕr), a metabolic disorder with neonatal onset, characterized by distinctive facies, muscular hypotonia, hepatomegaly with jaundice, renal cysts, epiphyseal stippling of the patellae, cerebral dysmyelination, and neuronal migration defects and psychomotor retardation; there is a perturbation in peroxisomal biogenesis; autosomal recessive inheritance, caused by mutation in any one of several peroxin (PEX) genes on chromosome 6, 7, 8, or 12. Synonym(s): cerebrohepatorenal syndromePEX1 A gene on chromosome 7q21.2 that encodes peroxin-1, a protein of the AAA ATPase family, which have various cell functions. This cytoplasmic protein forms heteromeric complexes with the peroxisomal membrane, where it plays a role in peroxisome biogenesis and in importing proteins into peroxisomes. Molecular pathology PEX1 mutations are associated with complementation group 1 peroxisomal disorders—e.g., neonatal adrenoleukodystrophy, infantile Refsum disease, Zellweger syndrome.Zellweger syndrome Cerebrohepatorenal syndrome An AR disease characterized by defective peroxisomes, due to inability to import matrix proteins Clinical Profound neurologic impairment–seizures, flaccidity, metabolic dysfunction, hyoid bone and thyroid cartilage calcification, dolichocephaly, persistent wormian bones, hand and foot deformities and bone immaturity, facial dysmorphia, cataracts, contractures, renal cortical cysts, liver fibrosis, death in early infancyZellweger, Hans U., U.S. pediatrician, 1909-1990. Fanconi-Albertini-Zellweger syndrome - see under FanconiZellweger syndrome - Synonym(s): cerebrohepatorenal syndromeSee ZS See ZWS |