Aagenaes syndrome or lymphedema cholestasis syndrome (LSC1) is a form of idiopathic familial intrahepatic cholestasis or a syndrome characterised by congenital hypoplasia of lymph vessels and lymphedema of the lower extremities , which causes lymphedema of the legs and recurrent cholestasis in infancy, and slow progress to hepatic cirrhosis and giant cell hepatitis with fibrosis of the portal tracts.
The genetic cause is unknown, but it is autosomal recessively inherited and the gene is located to chromosome 15q. A common feature of the condition is a generalised lymphatic anomaly, which may be indicative of the defect being lymphangiogenetic in origin. The condition is particularly frequent in southern Norway, where more than half the cases are reported from, but is found in patients in other parts of Europe and the United States. It is named after Øystein Aagenæs, a Norwegian paediatrician.
It is also called cholestasis-lymphedema syndrome (CLS)
This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed. This information comes from a database called the Human Phenotype Ontology (HPO) . The HPO collects information on symptoms that have been described in medical resources.
|Medical Terms||Other Names||Learn More:HPO ID|
|80%-99% of people have these symptoms|
|Abdominal pain||Pain in stomach[ more ]||0002027|
|Abnormality of urine homeostasis||Pee issues[ more ]||0003110|
|Acholic stools||Clay colored stools||0011985|
|Biliary tract abnormality||0001080|
|Fatigue||Tired[ more ]||0012378|
Find a Specialist
If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease. You may find these specialists through advocacy organizations, clinical trials, or articles published in medical journals. You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments.
If you can’t find a specialist in your local area, try contacting national or international specialists. They may be able to refer you to someone they know through conferences or research efforts. Some specialists may be willing to consult with you or your local doctors over the phone or by email if you can’t travel to them for care.
You can find more tips in our guide, How to Find a Disease Specialist. We also encourage you to explore the rest of this page to find resources that can help you find specialists.
- To find a medical professional who specializes in genetics, you can ask your doctor for a referral or you can search for one yourself. Online directories are provided by the American College of Medical Genetics and the National Society of Genetic Counselors. If you need additional help, contact a GARD Information Specialist. You can also learn more about genetic consultations from Genetics Home Reference.
- Dang S, Sigal Y, Davies D. Recurrent cellulitis in a case of Aagenaes syndrome. Clin Pediatr (Phila). 2009; http://www.ncbi.nlm.nih.gov/pubmed/19498211. Accessed 9/13/2012.
- Drivdal M, Trydal T, Hagve TA, Bergstad I, Aagenaes O. Prognosis, with evaluation of general biochemistry, of liver disease in lymphoedema cholestasis syndrome 1 (LCS1/Aagenaes syndrome). Scand J Gastroenterol. 2006; http://www.ncbi.nlm.nih.gov/pubmed/16635916. Accessed 9/13/2012.
- Cholestasis-Lymphedema Syndrome. Online Mendelian Inheritance in Man (OMIM). 2007; http://omim.org/entry/214900. Accessed 9/13/2012
- Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 978-1-4160-2999-1.
- ^ Bull LN, Roche E, Song EJ, Pedersen J, Knisely AS, van Der Hagen CB, Eiklid K, Aagenaes O, Freimer NB (Oct 2000). “Mapping of the locus for cholestasis-lymphedema syndrome (Aagenaes syndrome) to a 6.6-cM interval on chromosome 15q”. Am J Hum Genet. 67 (4): 994–9. doi:10.1086/303080. PMC 1287903. PMID 10968776.
- ^ Heiberg A (May 2001). “Aagenaes syndrome: lymphedema and intrahepatic cholestasis”. Tidsskr nor Laegeforen. 121 (14): 1718–9. PMID 11446017.
- ^ “Øystein Aagenæs”.
- ^ Frühwirth, M.; et al. (Apr 2003). “Evidence for genetic heterogeneity in lymphedema-cholestasis syndrome”. Journal of Pediatrics. 142 (4): 441–447. doi:10.1067/mpd.2003.148. PMID 12712065.