Subscribe to RSS
DOI: 10.1055/s-2003-39950
Hepatic Manifestations of Jeune Syndrome (Asphyxiating Thoracic Dystrophy)
Publication History
Publication Date:
11 June 2003 (online)
![](https://www.thieme-connect.de/media/sld/200302/lookinside/thumbnails/10.1055-s-2003-39950-1.jpg)
ABSTRACT
Asphyxiating thoracic dystrophy, or Jeune syndrome, is an autosomal recessive skeletal dysplasia with multiorgan involvement. Most patients develop progressive respiratory insufficiency related to the abnormally small thorax and renal insufficiency. Other clinical manifestations include cystic lesions of the pancreas and retinal abnormalities. Hepatic abnormalities have been described both clinically and at autopsy, but the pathogenesis of the liver disease is not clear. A patient with Jeune syndrome developed complications because of progressive portal hypertension necessitating transplantation. We present a discussion of the gross and histopathologic findings in the explanted liver, along with a review of the pathology of liver disease in Jeune syndrome.
KEYWORDS
Jeune syndrome - asphyxiating thoracic dystrophy - liver
REFERENCES
- 1 Jeune M, Beraud C, Carron R. Dystrophie thoracique asphyxiante de caractere familial. Arch Fr Pediatr . 1955; 12 886-891
- 2 Oberklaid R, Danks D M, Mayne V, Campbell P. Asphyxiating thoracic dysplasia. Clinical, radiological, and pathological information on 10 patients. Arch Dis Child . 1977; 52 758-765
- 3 Turkel S B, Diehl E J, Richmond J A. Necropsy findings in neonatal asphyxiating thoracic dystrophy. J Med Genet . 1985; 22 112-118
- 4 Pirnar T, Neuhauser E BD. Asphyxiating thoracic dystrophy of the newborn. AJR Am J Roentgenol . 1966; 98 358-364
- 5 Friedman J M, Kaplan H G, Hall J G. The Jeune syndrome (asphyxiating thoracic dystrophy) in an adult. Am J Med . 1975; 59 857-862
- 6 Whitley C B, Schwarzenberg S J, Burke B A. et al . Direct hyperbilirubinemia and hepatic fibrosis: a new presentation of Jeune syndrome (asphyxiating thoracic dystrophy). Am J Med Genet Suppl . 1987; 3 211-220
- 7 Hudgins L, Resengern S, Treem W, Hyams J. Early cirrhosis in survivors with Jeune thoracic dystrophy. J Pediatr . 1992; 120 754-756
- 8 Labrune P, Fabre M, Trioche P. et al . Jeune syndrome and liver disease: report of three cases treated with ursodeoxycholic acid. Am J Med Genet . 1999; 87 324-328
- 9 Edelson P, Spackman T J, Belliveau R E, Mahoney M J. A renal lesion in asphyxiating thoracic dysplasia. Birth Defects: OAS . 1974; 10 51-56
- 10 Landing B H, Wells T R, Claireaux A E. Morphometric analysis of liver lesions in cystic diseases of childhood. Hum Pathol . 1980; 11(Suppl) 549-560
- 11 Russell J GB, Chouksey M B. Asphyxiating thoracic dystrophy. Br J Radiol . 1970; 43 814-815
- 12 Cremin B J. Infantile thoracic dystrophy. Br J Radiol . 1970; 43 199-204
- 13 Shokeir M HK, Houston C S, Awen C F. Asphyxiating thoracic chondrodystrophy: association with renal disease and evidence for possible heterozygous expression. J Med Genet . 1971; 8 107-112
- 14 Özcay F, Derbent M, Demirhan B. et al . A family with Jeune syndrome. Pediatr Nephrol . 2001; 16 623-626
- 15 Brueton L A, Dillon M J, Winter R M. Ellis-van Creveld syndrome, Jeune syndrome, and renal-hepatic-pancreatic dysplasia: separate entities or disease spectrum?. J Med Genet . 1990; 27 252-255
- 16 Esmer C, Alvarez-Mendoza A, Lieberman E. et al . Liver fibrocystic disease and polydactyly: proposal of a new syndrome. Am J Med Genet . 2001; 101 12-16
- 17 Wanless I R, Mawdsley C, Adams R. On the pathogenesis of focal nodular hyperplasia of the liver. Hepatology . 1985; 5 1194-1200