Definition of Pulmonary stenosis, peripheral, with cholestasis
Pulmonary stenosis, peripheral, with
cholestasis: Also known as arteriohepatic dysplasia
or Alagille syndrome, this ia a genetic disorder
characterized by jaundice in the newborn period, liver
disease with cholestasis, peripheral pulmonic stenosis and
unusual face. Children with Alagille syndrome usually
present with jaundice (yellowing of the skin and whites of
the eyes) in the newborn period. Cholestasis (stagnant flow
of bile from the liver) then develops with puritis
(itching), stools without the usual yellowing brown color,
and enlargement of the liver and spleen. Peripheral
pulmonic stenosis is a form of congenital heart disease
(CHD). Other types of CHD also occur. The face has deep-
set eyes, broad forehead, long nose with flat tip,
prominence of the chin, and low-set or malformed ears. The
outlook (prognosis) depends upon the degree of severity of
the CHD and the liver disease (it can cause liver failure).
The condition is an autosomal dominant trait meaning that
the gene for it is on a non-sex chromosome (an autosome)
and a single edition of the Alagille gene is sufficient to
produce the disease. The gene has been discovered on
chromosome 20 in band 20p12. The syndrome was first
described by D. Alagille in the French medical literature
in 1969.
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