Liver Cirrhosis in Woman with Ciliopathy Syndrome

Ciliopathy syndrome is a congenital abnormality of structure and/or function of cilia, which causes pleiotropic disorder, including liver cirrhosis. This study aimed to describe a unique case of liver cirrhosis with possible aetiology of ciliopathy syndrome. A 44 year-old woman with chief complain o...

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Main Authors: Syifa Mustika, Dian Hasanah
Format: Article
Language:English
Published: Interna Publishing 2022-04-01
Series:Acta Medica Indonesiana
Subjects:
Online Access:http://www.actamedindones.org/index.php/ijim/article/view/743
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author Syifa Mustika
Dian Hasanah
author_facet Syifa Mustika
Dian Hasanah
author_sort Syifa Mustika
collection DOAJ
description Ciliopathy syndrome is a congenital abnormality of structure and/or function of cilia, which causes pleiotropic disorder, including liver cirrhosis. This study aimed to describe a unique case of liver cirrhosis with possible aetiology of ciliopathy syndrome. A 44 year-old woman with chief complain of hematemesis had diabetes mellitus, obesity, dyslipidaemia, amenorrhoea and often became unconscious. We found short stature, brachydactyly, hyperpigmented maculae in trunk and four limbs, and hepatosplenomegaly. The laboratory results showed: haemoglobin 7.4 g/dl; albumin 2.42 g/dl; urea 84.8 mg/dl; creatinine 2.4 mg/dl; prolactin 138.8 ng/ml, while HBsAg was negative and anti-HCV was non-reactive. Abdominal ultrasonography showed liver cirrhosis; endoscopy showed grade 3 oesophageal varicose; FibroScan showed 75 kPa; liver biopsy showed hydropic degeneration and cirrhosis; and head CT scan showed chronic lacunar infarction of corona radiata and mega cisterna magna occipital. We reported female with oesophageal varicose rupture, short stature, brachydactyly, obesity, diabetes mellitus, dyslipidaemia, hyperpigmented maculae, liver cirrhosis and mega cisterna magna, which was likely to suffer from ciliopathy syndrome.
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spelling doaj-art-eef6b01e3c4e401f88c4eca4ee2fb1912025-08-20T03:11:36ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322022-04-01541494Liver Cirrhosis in Woman with Ciliopathy SyndromeSyifa Mustika0Dian Hasanah1Division of Gastroenterohepatology, Faculty of Medicine Universitas Brawijaya, Malang, IndonesiaResident of Internal Medicine, Faculty of Medicine Universitas Brawijaya, Malang, IndonesiaCiliopathy syndrome is a congenital abnormality of structure and/or function of cilia, which causes pleiotropic disorder, including liver cirrhosis. This study aimed to describe a unique case of liver cirrhosis with possible aetiology of ciliopathy syndrome. A 44 year-old woman with chief complain of hematemesis had diabetes mellitus, obesity, dyslipidaemia, amenorrhoea and often became unconscious. We found short stature, brachydactyly, hyperpigmented maculae in trunk and four limbs, and hepatosplenomegaly. The laboratory results showed: haemoglobin 7.4 g/dl; albumin 2.42 g/dl; urea 84.8 mg/dl; creatinine 2.4 mg/dl; prolactin 138.8 ng/ml, while HBsAg was negative and anti-HCV was non-reactive. Abdominal ultrasonography showed liver cirrhosis; endoscopy showed grade 3 oesophageal varicose; FibroScan showed 75 kPa; liver biopsy showed hydropic degeneration and cirrhosis; and head CT scan showed chronic lacunar infarction of corona radiata and mega cisterna magna occipital. We reported female with oesophageal varicose rupture, short stature, brachydactyly, obesity, diabetes mellitus, dyslipidaemia, hyperpigmented maculae, liver cirrhosis and mega cisterna magna, which was likely to suffer from ciliopathy syndrome. http://www.actamedindones.org/index.php/ijim/article/view/743short staturebrachydactylyinsulin resistancecirrhosisciliopathy
spellingShingle Syifa Mustika
Dian Hasanah
Liver Cirrhosis in Woman with Ciliopathy Syndrome
Acta Medica Indonesiana
short stature
brachydactyly
insulin resistance
cirrhosis
ciliopathy
title Liver Cirrhosis in Woman with Ciliopathy Syndrome
title_full Liver Cirrhosis in Woman with Ciliopathy Syndrome
title_fullStr Liver Cirrhosis in Woman with Ciliopathy Syndrome
title_full_unstemmed Liver Cirrhosis in Woman with Ciliopathy Syndrome
title_short Liver Cirrhosis in Woman with Ciliopathy Syndrome
title_sort liver cirrhosis in woman with ciliopathy syndrome
topic short stature
brachydactyly
insulin resistance
cirrhosis
ciliopathy
url http://www.actamedindones.org/index.php/ijim/article/view/743
work_keys_str_mv AT syifamustika livercirrhosisinwomanwithciliopathysyndrome
AT dianhasanah livercirrhosisinwomanwithciliopathysyndrome