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Brecelj, Jernej
Slovenska pediatrija, 11/2022, Volume: 29, Issue: 3Journal Article
Motnje sinteze žolčnih kislin so skupina redkih dednih pre-snovnih bolezni, ki se kažejo s holestazo, odpovedjo ali cirozo jeter ter občasno s steatorejo in/ali nevrološkimi simptomi. Prepoznavanje ni vedno enostavno. Najpomembnejši korak k postavitvi diagnoze je njihova vključitev med diferencialno-diagnostične možnosti. V laboratorijskih izvidih je običajno prisotna holestaza z nizko vrednostjo gama-GT in nižjo ali normalno koncentracijo žolčnih kislin. Posamezne encimske motnje ugotavljamo z masno spektrometrijo urina, potrdimo pa jih z genetskim diagnosticiranjem. Večino motenj sinteze žolčnih kislin lahko uspešno dolgoročno zdravimo oralno s holno kislino.
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