严重的新生儿间歇性肺病是由罕见的表面活性蛋白C突变引起的
Friederike Terpe1, Nicolaus Schwerk2, Matthias Griese3
1Departments of Pediatrics.
Pediatrics
|May 26, 2023
概括
一名呼吸困难的新生儿被诊断出患有儿童间歇性肺病 (chILD),原因是表面活性剂功能障碍. 基因分析揭示了SFTPC变体,导致7个月的肺移植.
科学领域:
- 儿科肺病学 儿科肺病学
- 罕见疾病 罕见疾病
- 遗传学 遗传学 是一个
背景情况:
- 儿童间歇性肺病 (chILD) 包含罕见的,异质的肺部疾病.
- 在新生儿和婴儿中存在的表面活性剂功能障碍,具有非特异性症状,如太喘和低氧化症.
- 区分儿童和常见的呼吸道感染对于及时诊断和管理至关重要.
研究的目的:
- 报告由表面活性剂功能障碍引起的新生儿chILD病例.
- 突出这一罕见疾病的诊断挑战和遗传基础.
- 描述临床过程和治疗结果,包括肺移植.
主要方法:
- 临床表现和排除常见疾病.
- 通过胸部计算机断层扫描 (CT) 和整个外组测序 (WES) 进行诊断确认.
- 基因分析以确定表面活性蛋白C (SFTPC) 中的致病变体.
主要成果:
- 一个满期的男婴呈现出严重的短呼吸和低氧化.
- 胸部CT和WES确定了一种可能的致病性异性SFTPC变体 (c.163C>T,L55F).
- 尽管进行了积极的医疗治疗,但呼吸衰竭需要在7个月大时进行肺移植.
结论:
- 新生儿表面活性剂功能障碍是一种严重的CHILD形式,需要专门的诊断.
- 对SFTPC变异的早期遗传鉴定对于了解疾病机制至关重要.
- 肺移植可能是严重,耐药的儿童肺炎病例的必要干预.
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