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Beta 2-microglobulinuria

MedGen UID:
1373797
Concept ID:
C4476798
Finding
HPO: HP:0025466

Definition

Increased level of beta 2-microglobulins in the urine. [from HPO]

Conditions with this feature

Proteinuria, low molecular weight, with hypercalciuria and nephrocalcinosis
MedGen UID:
333426
Concept ID:
C1839874
Disease or Syndrome
Low molecular weight proteinuria with hypercalciuria and nephrocalcinosis is a form of X-linked hypercalciuric nephrocalcinosis, a group of disorders characterized by proximal renal tubular reabsorptive failure, hypercalciuria, nephrocalcinosis, and renal insufficiency. These disorders have also been referred to as the 'Dent disease complex' (Scheinman, 1998; Gambaro et al., 2004). For a general discussion of Dent disease, see 300009.
Renal tubular acidosis, distal, with nephrocalcinosis, short stature, intellectual disability, and distinctive facies
MedGen UID:
370587
Concept ID:
C1969055
Disease or Syndrome
Fanconi-Bickel syndrome
MedGen UID:
501176
Concept ID:
C3495427
Disease or Syndrome
Fanconi-Bickel syndrome is a rare but well-defined clinical entity, inherited in an autosomal recessive mode and characterized by hepatorenal glycogen accumulation, proximal renal tubular dysfunction, and impaired utilization of glucose and galactose (Manz et al., 1987). Because no underlying enzymatic defect in carbohydrate metabolism had been identified and because metabolism of both glucose and galactose is impaired, a primary defect of monosaccharide transport across the membranes had been suggested (Berry et al., 1995; Fellers et al., 1967; Manz et al., 1987; Odievre, 1966). Use of the term glycogenosis type XI introduced by Hug (1987) is to be discouraged because glycogen accumulation is not due to the proposed functional defect of phosphoglucomutase, an essential enzyme in the common degradative pathways of both glycogen and galactose, but is secondary to nonfunctional glucose transport.

Recent clinical studies

Etiology

Hassen W, Abid S, Achour A, Creppy E, Bacha H
Toxicology 2004 Jul 1;199(2-3):185-93. doi: 10.1016/j.tox.2004.02.027. PMID: 15147792
Hrabar A, Ceović S, Aleraj B, Cvoriscec D, Hall PW 3rd
Kidney Int Suppl 1991 Nov;34:S44-5. PMID: 1762333
Jevremović I, Janković S, Radovanović Z, Danilović V, Velimirović D, Naumović T, Vacca C, Stamenković M, Bukvić D, Stojanović V
Kidney Int Suppl 1991 Nov;34:S35-7. PMID: 1762329
Tirelli AS, Colombo N, Cavanna G, Mangioni C, Assael BM
Eur J Clin Pharmacol 1985;29(3):313-8. doi: 10.1007/BF00544087. PMID: 3908127
Elinder CG, Edling C, Lindberg E, Kågedal B, Vesterberg O
Am J Ind Med 1985;8(6):553-64. doi: 10.1002/ajim.4700080607. PMID: 3907336

Diagnosis

Nogawa K, Kido T
Int Arch Occup Environ Health 1993;65(1 Suppl):S43-6. doi: 10.1007/BF00381306. PMID: 8406937
Sandberg T, Bergmark J, Hultberg B, Jagenburg R, Trollfors B
Acta Med Scand 1986;219(5):489-95. doi: 10.1111/j.0954-6820.1986.tb03344.x. PMID: 2874689
Tirelli AS, Colombo N, Cavanna G, Mangioni C, Assael BM
Eur J Clin Pharmacol 1985;29(3):313-8. doi: 10.1007/BF00544087. PMID: 3908127
Nomiyama K
Sci Total Environ 1980 Apr;14(3):199-232. doi: 10.1016/0048-9697(80)90024-8. PMID: 6771869
Roberts JL, Lewis EJ
Proc Clin Dial Transplant Forum 1979;9:145-9. PMID: 95329

Therapy

Papaleo A, Warszawski J, Salomon R, Jullien V, Veber F, Dechaux M, Blanche S
Pediatr Infect Dis J 2007 Oct;26(10):949-51. doi: 10.1097/INF.0b013e3181256570. PMID: 17901802
Nogawa K, Kido T
Int Arch Occup Environ Health 1993;65(1 Suppl):S43-6. doi: 10.1007/BF00381306. PMID: 8406937
Elinder CG, Edling C, Lindberg E, Kågedal B, Vesterberg O
Am J Ind Med 1985;8(6):553-64. doi: 10.1002/ajim.4700080607. PMID: 3907336
Trollfors B
Ups J Med Sci 1985;90(1):31-6. doi: 10.3109/03009738509178635. PMID: 3890318
Carlier B, Ninane G
Acta Clin Belg 1982;37(1):23-9. doi: 10.1080/22953337.1982.11718835. PMID: 6178243

Prognosis

Phillips RS, Tyerman K, Al-Kassim MI, Picton S
Pediatr Hematol Oncol 2008 Mar;25(2):107-13. doi: 10.1080/08880010701885276. PMID: 18363176
Roels HA, Hoet P, Lison D
Ren Fail 1999 May-Jul;21(3-4):251-62. doi: 10.3109/08860229909085087. PMID: 10416202
Gao F, Zhang C
J Tongji Med Univ 1998;18(1):39-41. doi: 10.1007/BF02888278. PMID: 10806801
Tirelli AS, Colombo N, Cavanna G, Mangioni C, Assael BM
Eur J Clin Pharmacol 1985;29(3):313-8. doi: 10.1007/BF00544087. PMID: 3908127
Trollfors B
Ups J Med Sci 1985;90(1):31-6. doi: 10.3109/03009738509178635. PMID: 3890318

Clinical prediction guides

Chiou YY, Chiu NT, Chen MJ, Cheng HL
Acta Paediatr Taiwan 2001 Mar-Apr;42(2):84-9. PMID: 11355070
Nogawa K, Kido T, Shaikh ZA
IARC Sci Publ 1992;(118):311-8. PMID: 1303957
Tirelli AS, Colombo N, Cavanna G, Mangioni C, Assael BM
Eur J Clin Pharmacol 1985;29(3):313-8. doi: 10.1007/BF00544087. PMID: 3908127
Trollfors B
Ups J Med Sci 1985;90(1):31-6. doi: 10.3109/03009738509178635. PMID: 3890318
Nomiyama K
Sci Total Environ 1980 Apr;14(3):199-232. doi: 10.1016/0048-9697(80)90024-8. PMID: 6771869

Recent systematic reviews

Phillips RS, Tyerman K, Al-Kassim MI, Picton S
Pediatr Hematol Oncol 2008 Mar;25(2):107-13. doi: 10.1080/08880010701885276. PMID: 18363176

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