Monday, May 23, 2011

KARTAGENER SYNDROME. (KS) short review.

KS is a type of primary ciliary dyskinesia (PCD) with an inherited autosomal recessive pattern; result from defective cilia mobility due to a dynein arm defect.
Gene DNA H5 and DNA H 11 are know to cause primary ciliary dyskinesia, both genes encode for dynein.

Clinical triad: Recurrent Sinusitis, Bronchoectasis and Situs Inversus.

Other finding: male and female infertility, digital clubbing.


The KS is reported like 1 case per 32 000 life births in EUA, 000 in Spain and 1: 60 000 in Cuba.
Situs Inversus occurs randomly in half of patient with PCD, therefore, for every patient with KS, another patient have PCD but no Situs Inversus.

Diagnosis test:
Sinus radiographs, chest radiographs, high CT scan.
Screening test include saccharin test and the measurement of nasal and exhale nitric oxide.
Audiologic test.
Pulmonary function study.

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