The Meckel syndrome: Clinicopathological findings in 67 patients

Wiley - Tập 18 Số 4 - Trang 671-689 - 1984
Riitta Salonen1, John M. Opitz, James F. Reynolds
1Department of Medical Genetics, The Finnish Population and Family Welfare Federation, Väestölitto, Helsinki, Finland

Tóm tắt

AbstractA nationwide study on the Meckel syndrome (MS) was carried out covering retrospectively the years 1970–1979 and prospectively the years 1980–1981. Sixty‐seven cases from 48 Finnish families were found. The clinical and pathological findings were studied. Cystic dysplasia of the kidneys was present in all the cases where sufficient information was available. In all 41 cases with specimens available from the liver, a typical fibrotic change with proliferation and dilatation of the bile ducts was found. This series and a review of the literature give convincing evidence that cystic dysplasia of the kidneys with fibrosis of the liver is a constant finding in the “true” Meckel syndrome. In conclusion, it is proposed that cystic dysplasia of the kidneys with fibrotic changes of the liver and occipital encephal‐ocele or some other central nervous system malformation are considered as minimal diagnostic criteria of MS. Thus, a histologic investigation of the kidneys and liver is essential in diagnosing MS in doubtful cases. Heterozygote manifestations were not found.

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Wiley

Tập 18 Số 4

671-689

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