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Exocrine pancreatic dysfunction is common in hepatocyte nuclear factor 1β-associated renal disease and can be symptomatic
Author(s) -
Rhian Clissold,
Jonathan Fulford,
Michelle Hudson,
Beverley M. Shields,
Timothy J. McDonald,
Sian Ellard,
Andrew T. Hattersley,
Coralie Bingham
Publication year - 2017
Publication title -
clinical kidney journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.033
H-Index - 40
eISSN - 2048-8513
pISSN - 2048-8505
DOI - 10.1093/ckj/sfx150
Subject(s) - medicine , hnf1b , gastroenterology , diabetes mellitus , exocrine pancreatic insufficiency , pancreatitis , hyperglucagonemia , steatorrhea , endocrinology , insulin , glucagon , biology , biochemistry , gene expression , gene , homeobox
Heterozygous mutations in the HNF1B gene are the most common monogenic cause of developmental kidney disease. Extrarenal phenotypes frequently occur, including diabetes mellitus and pancreatic hypoplasia; the latter is associated with subclinical exocrine dysfunction. We measured faecal elastase-1 in patients with HNF1B-associated disease regardless of diabetes status and assessed the degree of symptoms associated with pancreatic exocrine deficiency.

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