[Cystinosis in adults: A systemic disease].
Néphrologie & Thérapeutique. 2015-06-01; 11(3): 152-159
DOI: 10.1016/j.nephro.2014.12.001
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1. Nephrol Ther. 2015 Jun;11(3):152-9. doi: 10.1016/j.nephro.2014.12.001. Epub 2015
Mar 11.
[Cystinosis in adults: A systemic disease].
[Article in French]
Servais A(1), Goizet C(2), Bertholet-Thomas A(3), Decramer S(4), Llanas B(5),
Choukroun G(6), Novo R(7).
Author information:
(1)Service de néphrologie adulte et transplantation, centre de référence MARHEA,
université Paris Descartes, hôpital Necker-Enfants malades, 149, rue de Sèvres,
75015 Paris, France. Electronic address: .
(2)Service de génétique médicale, groupe hospitalier Pellegrin, CHU de Bordeaux,
place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
(3)Service de néphrologie pédiatrique, centre de référence des maladies rénales
rares, néphrogones, hôpital Femme-Mère-Enfant, hospices civils de Lyon, 59,
boulevard Pinel, 69677 Bron cedex, France.
(4)Service de pédiatrie, néphrologie, médecine interne et hypertension
pédiatrique, centre de référence du sud-ouest des maladies rénales rares, SORARE,
hôpital des enfants, CHU de Toulouse, 330, avenue de Grande-Bretagne, TSA 70034,
31059 Toulouse cedex 9, France.
(5)Service de néphrologie pédiatrique, centre de référence du sud-ouest des
maladies rénales rares, SORARE, CHU de Bordeaux, groupe hospitalier Pellegrin,
place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
(6)Inserm UMR 1088, service de néphrologie, médecine interne, dialyse,
transplantation, réanimation, université de Picardie-Jules-Verne, Amiens, hôpital
Sud, CHU d’Amiens-Picardie, avenue René-Laënnec-Salouël, 80054 Amiens cedex 1,
France.
(7)Service de néphrologie pédiatrique, hôpital Jeanne-de-Flandre, CHRU de Lille,
avenue Eugène-Avinée, 59037 Lille cedex, France.
Cystinosis is a multisystemic autosomal recessive disorder characterized by an
intra-lysosomal accumulation of cystine. It is due to a defect of cystine
transport through the membrane of the lysosome. The classical infantile form is
characterized by a proximal tubulopathy, corneal cystine crystals and progressive
renal failure, leading to end stage renal disease before 20 years of age in 90%
of cases in historical cohorts. It is the most common cause of Fanconi syndrome
in children. Due to recent progress in renal transplantation and to the specific
treatment with cysteamine, patients survival improved significantly in the last
years and adult nephrologists take care of such patients. However, disease
evolution is characterized by other complications: endocrinological
(hypothyroidism, diabetes, male hypogonadism), neuromuscular and of the central
nervous system. Cysteamine delays the onset of these complications. A
multidisciplinary team should take care of these patients, even if the
nephrologist remains in first line. Apart from infantile form, there is a
juvenile form, with a later onset, and an adult form, which may be only ocular,
although renal involvement may be associated. The aim of this revue is to
summarize actual knowledge of the disease to provide guidance to adult
nephrologist to take care of his patients.
Copyright © 2015 Association Société de néphrologie. Published by Elsevier SAS.
All rights reserved.
DOI: 10.1016/j.nephro.2014.12.001
PMID: 25769364 [Indexed for MEDLINE]