在PEDSnet中,患有1型原发性高氧化尿症的儿科患者的显著特征
Gregory E Tasian1, Kimberley Dickinson2, Grace Park2
1Department of Surgery, Division of Urology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
在儿童中,原发性高氧化尿1型 (PH1) 呈现出早期发病的病,骨,和特定的石材组成. 识别这些特征有助于早期诊断和治疗这种罕见的代谢障碍.
科学领域:
- 儿科脏病学 儿科脏病学
- 代谢过程中的先天性错误
- 尿病研究 尿病研究
背景情况:
- 初级高氧化尿1型 (PH1) 是一种罕见的,自体相递归的代谢障碍.
- 它导致氧酸盐沉积,导致结石,慢性病和系统性氧化,并带来严重的并发症.
- 由于罕见,延迟诊断是常见的,并且与其他早期发病的结石原因重叠.
研究的目的:
- 为了确定诊断前的PH1的21岁以下个体的临床特征.
- 为了区分PH1患者与非PH早期结石患者.
主要方法:
- 在2009年至2021年期间,使用PEDSnet网络进行了一项病例控制研究.
- 经过遗传确认的PH1患者与具有结石但没有PH的对照进行了匹配.
- 分析了诊断前的临床特征和诊断测试.
主要成果:
- 该研究包括37名PH1患者和147名对照.
- PH1患者的诊断年龄较小 (中位数为3岁),患腎病的可能性更高 (43%对3%) 和较低的eGFR (52对114毫升/分钟/1.73米2).
- 在PH1患者中,主要有氧酸单酸盐结石 (100%vs10%).
结论:
- 在青春期之前存在PH1的儿童具有关键指标.
- 甲,诊断时降低的eGFR,和氧酸盐单酸盐结石是特有的.
- 这些发现可能使儿童群体的PH1早期诊断和治疗成为可能.
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