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         Arteriohepatic Dysplasia:     more detail

41. Bradandkathy.com: Revisiting, Again (27 June 2002)
arises. Henry has what appears to be a very mild version of Alagille'ssyndrome, aka arteriohepatic dysplasia. An inherited disease.
http://www.bradandkathy.com/archives/00000057.html
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Revisiting, Again I never really made a point in that last entry. My computer was dying and so I just posted it, unfinished. I'm not sure I really had a point, now. I think I was pissed off at the pro-induction doctors for making it sound like induction was a sure way to know what day your baby will arrive and which doctor will be able to deliver your baby; they give you these drugs and voila! A few hours pass and you have a baby. It doesn't always work that way. So, all this has got me thinking about Henry's birth and newborn days. And, it's got me wondering if I could go through it all again. I don't know. Brad doesn't know. We haven't decided anything, but neither one of us is seeming too eager for another child at this point. Before, I always thought two children would be right. Now, I don't know. I guess the genetic issues are hanging over me whenever this subject arises. Henry has what appears to be a very mild version of Alagille's syndrome , aka arteriohepatic dysplasia . An inherited disease. There's a chance any other children we have could also have it. Why don't Brad or I have any symptoms? We don't know. Maybe one of us did and no one realized it. It's all very uncertain. If there was a guarantee that any future children would be disease free or have only very mild versions...

42. KliMo Issue 212/1999 - 3
274). Alagille syndrome (arteriohepatic dysplasia) follow up of 23 years ofstable ocular findings Michael JM Groh, Hartmut Wenkel, Ursula M Mayer.
http://www.onjoph.com/global/klimo/english/iss212-3.html
A UGENHEILKUNDE I SSUE Abstracts:

43. The EOPS Author Index - J
9148 Alagille's syndrome (arteriohepatic dysplasia) hepatocellularcarcinoma associated with the syndrome in a 4-year old girl;
http://www.helsinki.fi/laak/silk/perus/EOPSAUTJ.html
The EOPS Author Index
Go to Home A B C ... Notes
Alphabetical List of All Members and Guests Alphabet J
Jakobiec, Frederick A.
Joint meeting, 1986
Guest-of-Honour

Joint meeting, 1991
Joint meeting, 1996
Previous:
New York, New York, U.S.A.
Massachusetts Eye and Ear Infirmary
Boston, Massachusetts, U.S.A.
  • Metastatic breast "colloid" carcinoma simulating a primary ciliary epithelial tumour
  • Anaplastic carcinoma of the lacrimal gland presenting with recurrent subconjunctival hemorrhages and displaying incipient sebaceous differentiation
  • Adult extra-renal rhabdoid tumor of the lacrimal gland
  • Prepartum capillary hemangioma (pseudo-Kaposi sarcoma) arising in a nevus flammeus
    Jensen, Ove A.
    Guest
    Ordinary Member

    Corresponding Secretary

    Organising Secretary

    Emeritus Member, 1994

    Rigshospitalet Copenhagen, Denmark
  • Pseudoepitheliomatous hyperplasia of the retinal pigment epithelium
  • Gliomatosis of the retina with secondary involvement of the orbit (? astrocytoma)
  • Glomus tumour (glomangioma) of eyelid
  • Retinal anlage tumour (progonoma melanoticum) of the maxilla
  • Acute keratomalacia with corneal perforation, retinal protrusion and expulsive haemorrhage.
  • 44. The EOPS Source Index 1991
    9148 Jensen O A Alagille's syndrome (arteriohepatic dysplasia) hepatocellularcarcinoma associated with the syndrome in a 4- year old girl 91-49 Stefani FH
    http://www.helsinki.fi/laak/silk/perus/EOPS1991.html
    The EOPS Source Index
    Go to Home Previous Next 60's ... Notes
    Nuerenberg, May 8th - 11th, 1991
    30th/6th Joint Meeting
    Jakobiec F A
    Adult extra-renal rhabdoid tumor of the lacrimal gland
    Hidayat A A
    Congenital malignant rhabdoid tumor of the eye and orbit
    Garner A
    Lacrimal gland myoepithelioma
    Friedman A H
    Fibrous histiocytoma of the lacrimal sac
    Lee W R
    Malignant fibrous histiocytoma of orbit: infarction of optic nerve
    Kock E
    Chondroma of the orbit
    Font R L
    Recurrent well differentiated orbital liposarcoma with myxoid areas occurring in a teenager
    Tarkkanen A
    Malignant fibrous histiocytoma of the orbit with spontaneous resolution
    Latkovic Z
    Orbital carcinoma of unknown origin - a case for diagnosis
    Prause J U
    Castleman's disease in one orbit
    Goder G J
    Kimura's disease of the orbit
    McLean I
    Primary histiocytoid carcinoma of the eyelid
    Boniuk M
    Unusual bluish tumors of the eyelid and conjunctiva: angioleiomyoma and glomangioma
    Sterkers M
    An atypical case of tumour of the eyebrow: melanoma or sarcoma?
    Mullaney J
    Conjunctival nodule with testicular tumour
    Conjunctival malignant melanoma
    Frayer W C
    Granulomatous conjunctivitis
    Ferry A P
    Teddy bear granuloma of conjunctiva (synthetic fiber granuloma)
    Manschot W A
    Not-predictable melanoma reaction on empirical radiation doses
    Naeser P
    Proton beam treated malignant melanoma
    Crawford J B
    Spindle cell tumor of eyelid in patient with lymphoma
    de Wolff-Rouendaal D
    Ciliary body and iris metastasis of cutaneous melanoma in a patient with dysplastic naevus syndrome
    Albert D M
    Hepatoblastoma metastatic to the eye

    45. Tenet Healthcare Corporation - Library
    ....... syndrome from other liver and bile duct diseases in infants. It is alsoknown as arteriohepatic dysplasia. (Back to Top).
    http://www.etenet.com/Apps/Library/default.asp?ID=521

    46. Health Library - Alagille Syndrome
    Synonyms. AHD; arteriohepatic dysplasia; Cholestasis with Peripheral PulmonaryStenosis; Syndromatic Hepatic Ductular Hypoplasia. Disorder Subdivisions. None.
    http://health_info.nmh.org/Library/HealthGuide/IllnessConditions/topic.asp?hwid=

    47. WebMD -
    Del Castillo Syndrome Arhinencephaly Armenian Syndrome Arnold Chiari Syndrome ArnoldChiariMalformation ARSA arteriohepatic dysplasia Arteriosclerosis, Retina
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    Health Mall Sponsored: Lose Lbs Naturally Heart Failure? Trouble Focusing? You are in Medical Library Choose a Topic Our Content Sources Health Guide A-Z Ask A Question Clinical Trials Health Topics Symptoms Medical Tests Wellness ... Support Organizations Search the Help Health Topics Click a letter to see a list of topics beginning with that letter A B C D ... back to top AA Aarskog Syndrome Aarskog-Scott Syndrome AAS Aase Syndrome ... back to top AB Abdominal Migraine Abdominal Muscle Deficiency Syndrome Abdominal Wall Defect Abercrombie Syndrome ... back to top AC ACADL ACADM Deficiency Acanthocheilonemiasis Acanthocytosis ... back to top AD Adamantiades-Behcet's Syndrome Adamantinoma Adams Oliver Syndrome ADD (Attention Deficit Disorder) ... back to top AE AE AEC Syndrome back to top AF AF AFD Afibrinogenemia, Congenital back to top AG AGA Agammaglobulinemias, Primary Aganglionic Megacolon Age-Related Macular Degeneration ... back to top AH AHC AHD AHDS Ahumada Del Castillo Syndrome ... back to top AI Aicardi Syndrome AIDS AIDS Dysmorphic Syndrome AIDS-related lymphoma - Health Professional Information - [CancerNet] ... back to top AK Akureyri Disease back to top AL Alagille Syndrome Albers-Schonberg Disease Albinism Albinism with Hemorrhagic Diathesis and Pigmented Reticuloendothelial Cells ... Alcohol Abuse, Teen

    48. Malattie Rare E Genetiche Lettera "W"
    Miller Sindrome•Watson syndromeAlagille syndrome (AGS)/AlagilleWatson syndrome(AWS)/Watson-Miller syndrome/ arteriohepatic dysplasia (AHD)/cardiovertebral
    http://utenti.lycos.it/fmfpc/W.htm
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    49. Alagille Syndrome
    Alagille Syndrome. AHD, arteriohepatic dysplasia, Cholestasis withPeripheral Pulmonary Stenosis Authors Nancy B Spinner, PhD
    http://ribosome.geneclinics.org/profiles/alagille/details.html
    Alagille Syndrome
    [AHD, Arteriohepatic Dysplasia, Cholestasis with Peripheral Pulmonary Stenosis] Authors: Nancy B Spinner, PhD
    Ian D Krantz, MD
    Children's Hospital of Philadelphia Initial Posting:
    19 May 2000 Last Update
    4 February 2003
    Summary
    Disease characteristics. Alagille syndrome is characterized by potentially life-threatening involvement of the liver and heart and by skeletal, ophthalmological, and facial changes that may not be medically significant but can be useful in diagnosis. Hepatic involvement typically presents in the first three months of life as cholestasis, jaundice, and pruritis with a paucity of bile ducts observed histologically; some patients develop liver failure. The most common cardiac manifestations are peripheral and branch pulmonic stenosis (67% of patients) and tetralogy of Fallot (7-16%). Posterior embryotoxon (prominent Schwalbe's ring) of the eye and butterfly vertebrae do not cause symptoms. Diagnosis/testing. The diagnosis of Alagille syndrome is primarily based on clinical findings. Fluorescence in situ hybridization (FISH) detects a microdeletion of 20p12, including the entire

    50. NORD - National Organization For Rare Disorders, Inc.
    To purchase fulltext report ($7.50) View Cart/Checkout. Copyright 1987, 1990,1996, 1998, 1999 Synonyms of Alagille Syndrome AHD; arteriohepatic dysplasia;
    http://www.rarediseases.org/search/rdbdetail_abstract.html?disname=Alagille Synd

    51. EMedicine - Alagille Syndrome Article By Ann Scheimann, MD
    Synonyms and related keywords AS, Alagille's syndrome, AlagilleWatsonsyndrome, arteriohepatic dysplasia, syndromic bile duct paucity.
    http://www.emedicine.com/ped/topic60.htm

    52. EMedicine - Nevus Comedonicus : Article By Joseph J Shaffer, MBBS
    syndrome, hemangiomas. Eye Congenital cataracts (unilateral and bilateral).Other - arteriohepatic dysplasia, rare systemic malignancies.
    http://www.emedicine.com/derm/topic294.htm
    (advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Dermatology Benign Neoplasms
    Nevus Comedonicus
    Last Updated: November 15, 2001 Rate this Article Email to a Colleague Synonyms and related keywords: comedo nevus, nevus actiniformis unilateralis, nevus follicularis keratosus, nevus unilateralis comedonicus, nevus actiniformis, zoniform nevus AUTHOR INFORMATION Section 1 of 9 Author Information Introduction Clinical Differentials ... Bibliography
    Author: Joseph J Shaffer, MBBS , Fellow, Dermatologic Surgery, Department of Cutaneous Surgery, Fairview University Medical Center Coauthor(s): Vincent De Leo, MD , Chair, Program Director, Department of Dermatology, St Luke's and Roosevelt Hospital Center Joseph J Shaffer, MBBS, is a member of the following medical societies: American Academy of Dermatology Editor(s): Barbara Reed, MD , Clinical Associate Professor, Department of Dermatology, University of Colorado Health Sciences Center; Michael J Wells, MD

    53. Tissue Type Total Alagille's (Arteriohepatic Dysplasia)
    Tissue Type. Total. Alagille's (arteriohepatic dysplasia). 15 (2483g). A1AT. 53 (3729g).Alc cirrhosis. 23 (3194g). Alcoholic Liver disease (unspec). 2 (360g). ALD/Hep C.
    http://www.peds.umn.edu/Centers/ltpads/specim.htm

    54. Brooklyn Birthing Center - Medical Terms
    Arterial blood gas, Arterial tension. Arteriogram, arteriohepatic dysplasia.Arteriosclerosis, Arteriosclerotic aneurysm. Artery, Arthritis.
    http://www.brooklynbirthingcenter.com/medicalTerms

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    Term Select A B C D ... Z
    A Aarskog-Scott syndrome Aase-Smith syndrome I Aase-Smith syndrome II Abdomen ... Azotemia
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    55. Untitled
    Paucity of Interlobular Bile Ducts. 116. Adams PC Hepatocellular carcinoma associatedwith arteriohepatic dysplasia. Dig Dis Sci 31 438442, 1986. 117.
    http://tpis.upmc.edu/tpis/dlp/CHAP6REF.htm
    General Aspects J Pediatr 106; 171-184, 1985 Semin Liver Dis 7: 61-66, 1987 J Hepatology 1: 545-559, 1985 Semin Liver Dis 7: 67-76, 1987 ... Prog Pediatr Surg 6: 113-139, 1974 Biliary Atresia Radiology 163: 377-379, 1987 J Pediatr Surg 13: 389-391, 1978 Hepatology 4: 7S-10S, 1984 J Pediatr Surg 20: 529-534, 1985 ... J Pediatr 100: 399-401, 1982 -antitrypsin deficiency (Pi SZ) and biliary atresia. J Pediatr Gastroenterol Nutr 9: 256-260, 1989 J Pediatr Surg 24: 48-51, 1989 Hum Pathol 14: 512-537, 1983 Arch Dis Child 66: 121-123, 1991 ... J Pediatr Surg 25: 153-162, 1990 Other Causes of Biliary Obstruction Gastroenterology 80: 380-383, 1981 World J Surg 9: 244-249, 1985 Hepatology 4: 678-683, 1984 Ann Surg 191: 626-634, 1980 ... Idiopathic perforation of the biliary tract in infancy . J Pediatr Surg 18: 546-550, 1983. Neonatal Hepatitis Prog Liver Dis 6: 471-485, 1979 Appl Pathol 6: 49-55, 1988 J Pediatr Gastroenterol Nutr 6: 203-207, 1987 -dihydroxy- and 3 -trihydroxy-5-cholenoic acids. J Clin Invest 79: 1021-1038, 1987 Arch Dis Child 52: 360-367, 1977 Arch Dis Child 60: 447-451, 1985 Arch Dis Child 60: 512-516, 1985 ... J Pediatr Gastroenterol Nutr 5: 492-500, 1986 -3-oxosteroid 5 -reductase deficiency described in identical twins with neonatal hepatitis. A new inborn error in bile acid synthesis.

    56. Answer: Six Month Old With Cholestasis
    Answer for Case 1 a six month old with cholestasis. The most likely diagnosisis Alagille's Syndrome which is also called arteriohepatic dysplasia.
    http://hsc.virginia.edu/medicine/clinical/pediatrics/CMC/cases/answer1.html
    Answer for Case 1: a six month old with cholestasis
    The most likely diagnosis is Alagille's Syndrome which is also called arteriohepatic dysplasia Alagille's Syndrome is inherited as an autosomal dominant trait. The syndrome is characterized by
    • paucity of intrahepatic ducts resulting in cholestatic liver disease
    • a variety of cardiac anomalies, most typically peripheral pulmonic stenosis
    • butterfly vertebrae
    • an ocular anomaly termed posterior embryotoxin
    • a characteristic facies consisting of a triangular shaped face with a pointed chin and wide and deeply set eyes. Affected patients may also be mentally retarded.
    The prognosis and natural history of the disease largely depend on the severity of the liver disease. Between one third and one half of affected children will develop chronic liver disease ultimately necessitating liver transplantation. Return to the Case Return to Children's Medical Center Home Page Witz@Virginia.edu 11/94

    57. Indications For Liver Transplantation In Children
    Extrahepatic biliary atresia arteriohepatic dysplasia (Alagille syndrome) Neonatalhepatitis Primary sclerosing cholangitis Caroli's disease Lanerhan's cell
    http://www.classkids.org/library/livertxdx.htm
    Diagnostic Indications for Hepatic Transplantation in Children
    Chronic cholestatic liver disease
    Extrahepatic biliary atresia
    Arteriohepatic dysplasia (Alagille syndrome)
    Neonatal hepatitis
    Primary sclerosing cholangitis
    Caroli's disease
    Lanerhan's cell histiocytosis (histiocytosis X)
    Inborn errors of metabolism
    Alpha-1-antitrypsin deficiency
    Tyrosinemia
    Wilson's disease
    Miscellaneous metabolic or genetic liver disease
    Glycogen storage disease, type 1
    Glycogen storage disease, type 4
    Type 1 hyperoxaluria
    Crigler-Najjar syndrome Ornithine transcarbamylase deficiency Familial hypercholesterolemia Protein C deficiency Niemann-Pick and other lipidosis Gaucher's disease Erythropoietic protoporphyria Hemophilia A Hemophilia B Urea cycle enzyme deficiency
    Hepatocellular injury
    Viral hepatitis Autoimmune hepatitis Drug-induced liver failure Amanita mushroom poisoning
    Mass occupying lesions
    Hepatoblastoma Hepatocellular carcinoma (hepatoma) Polycystic liver disease Hepatic adenomatosis Hemangioendothelioma
    Miscellaneous
    Cystic fibrosis Congenital hepatic fibrosis Reviewed on Children’s Liver Association for Support Services

    58. A
    Appendicitis; @ Arrhythmia; @ arteriohepatic dysplasia; @ Arthritis;@ Arthrogryposis; @ Asbestosis; @ Asperger's Syndrome; @ Aspergillosis;
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    59. Pediatric Cardiology
    Alagille Syndrome. This is also known as arteriohepatic dysplasia.It is a disease mainly of the liver which results in a decreased
    http://www.ucch.org/sections/cardio/new/alagille.html
    Sections/Specialties Palos Heights Merrillville La Rabida
    [Return to main] Alagille Syndrome This is also known as arteriohepatic dysplasia. It is a disease mainly of the liver which results in a decreased number of tubes (ducts) which usually allow the liver to get rid of a substance known as bile. There is also progressive destruction of the bile ducts. The end result is that bile accumulates within the liver and yellowness of the skin (jaundice) results since the liver cannot get rid of a substance called bilirubin which is one of the components in bile. There are a number of features common to people with Allagile syndrome. They may have a broad forehead with deep set and widely spaced eyes. They may have an underdeveloped mandible, eye abnormalities, abnormalities of the spine, kidney abnormalities, and cardiac abnormalities. The cardiac abnormalities are usually narrowing of the pulmonary arteries (peripheral pulmonary stenosis) which may require a cardiac intervention (such as stenting and dilation). Occasionally, another defect known as

    60. Alagille
    by. Malcolm Cheng, MD, FAAP, FRCPC. A. Classification. 1. “Syndromic”(Alagille Syndrome or arteriohepatic dysplasia). Autosomal Dominant.
    http://www3.sympatico.ca/malcolm.cheng2/alagille.html
    Intrahepatic Biliary Hypoplasia by Malcolm Cheng , MD, FAAP, FRCPC
    A. Classification

    1. “Syndromic” (Alagille Syndrome or Arteriohepatic Dysplasia) - Autosomal Dominant - Anomalies:
    - Skin: Jaundice
    - Facial: Triangular facies
    - Ocular: Posterior embryotoxon, Axenfeld’s anomaly
    - Cardiac: Valvular or peripheral pulmonic stenosis
    - Renal: Dysplastic kidneys
    - Growth failure
    - Mild mental retardation in some 2. Non-syndromic
    B. Laboratory Findings C. Treatments - Low cholesterol diet with MCT - Cholestyramine/Rifampin for pruritus D. Prognosis - Better for Alagille syndrome

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