一个患有皮疹,关节炎和发育迟缓的小男孩:由于DNASE2基因缺陷导致的单一性狼
Suprit Basu1, Archan Sil1, Ankur Kumar Jindal1
1Pediatric Allergy Immunology Unit, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
International journal of rheumatic diseases
|July 11, 2023
概括
脱氧核糖酶2 (DNASE2) 基因的新奇突变导致了一个年轻男孩患有单一性狼. 这种罕见的遗传疾病带有全身炎症,发育迟缓和神经问题.
科学领域:
- 遗传学 是一个遗传学.
- 免疫学 免疫学 免疫学
- 儿科 儿科 儿科
背景情况:
- 狼的单一原因越来越多地被确定,特别是在早期发病的情况下.
- 系统性红斑狼 (SLE) 是一种复杂的自身免疫性疾病,具有多种不同的病因.
- 遗传因素在SLE的发病过程中发挥着重要作用.
研究的目的:
- 报告一个患有DNASE2基因新突变的儿童患有单一性狼病例.
- 突出与DNASE2缺乏相关的临床表现和诊断发现.
- 为了强调基因检测在早期发作狼的重要性.
主要方法:
- 一个6岁男孩的临床病例介绍,有系统性症状.
- 实验室调查包括自身抗体,补充水平和尿液分析.
- 大脑MRI和针对性下一代测序用于遗传变异识别.
主要成果:
- 该患者出现了慢性发烧性疾病,贫血,皮疹,多关节炎,脏和神经系统的参与.
- 实验室发现与狼相一致,包括阳性抗核和抗dsDNA抗体,低补充血和脏蛋白尿.
- 在DNASE2基因中发现了一种新的致病变体.
结论:
- DNASE2 缺乏是单一性狼的罕见遗传原因.
- 在多关节炎,皮疹和神经症状的早期狼中怀疑DNASE2缺乏.
- 早期诊断和基因检测对于管理单一性狼至关重要.
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