doiSerbia

Jeune syndrome with renal failure

Peco-Antić Amira (School of Medicine, Belgrade + University Children’s Hospital, Nephrology Department, Belgrade)
Kostić Mirjana (School of Medicine, Belgrade + University Children’s Hospital, Center for Dialysis and Transplantation “Prof. dr Milana Popović-Rolović”, Belgrade)
Spasojević Brankica (University Children’s Hospital, Center for Dialysis and Transplantation “Prof. dr Milana Popović-Rolović”, Belgrade)
Miloševski-Lomić Gordana (University Children’s Hospital, Nephrology Department, Belgrade)
Paripović Dušan (University Children’s Hospital, Nephrology Department, Belgrade)
Kruščić Divna (University Children’s Hospital, Nephrology Department, Belgrade)
Cvetković Mirjana (University Children’s Hospital, Center for Dialysis and Transplantation “Prof. dr Milana Popović-Rolović”, Belgrade)

Introduction/Objective. Jeune syndrome (JS) is a rare hereditary ciliopathy characterized by asphyxiating thoracic dystrophy, shortened limbs and brachydactyly. Extraskeletal anomalies such as chronic renal failure (CRF), hepatic fibrosis, and retinitis pigmentosa may be a part of the JATD phenotype. The aim of this study is to present long-term follow-up of JS patients with early progressive kidney disease. Methods. This is a retrospective study of pediatric patients with JS and CRF who were treated at the University Children’s Hospital between January 1980 and December 2014. The patients’ data were retrospectively reviewed from the medical records. Results. There were thirteen patients from 11 families, five girls and eight boys mean aged 4.3 years at the time of diagnosis. All of the patients had characteristic skeletal findings, retinal degeneration and an early onset of CRF at age range from 1.5 to 7 years. Five patients had neonatal respiratory distress and congenital liver fibrosis was diagnosed in five patients. One patient died due to complications of CRF, while others survived during follow-up of mean 11 years. IFT140 mutations were found in four genetically tested patients. Conclusion. The average incidence rate of JS with renal phenotype in Serbia was about 0.2 per one million of child population. Long-term survival of JS patients depends on renal replacement therapy, while skeletal dysplasia, growth failure, respiratory and eyes problems have impact on the patients’ quality of life.

Keywords: asphyxiating thoracic dystrophy, osteochondrodysplasia, ciliopathies, neonatal respiratory insufficiency, terminal renal failure