在SERPING1基因的致病变体导致幼儿时期的自体主导遗传性血管
1Department of Pediatrics, Oregon Health & Science University, Portland, Oregon, USA kronk@ohsu.edu.
BMJ case reports
|November 3, 2023
概括
遗传性血管 (HAE) 可以发生在幼儿中,即使没有家族病史. 早期诊断和使用兰阿德鲁马布等疗法治疗可以改善儿科HAE患者的治疗结果.
科学领域:
- 免疫学 免疫学 免疫学
- 遗传学 是一个遗传学.
- 儿科 儿科 儿科
背景情况:
- 遗传性血管 (HAE) 是一种罕见的遗传性疾病,其特点是经常出现胀.
- 由于非特异性症状和缺乏家族病史,早期儿童的诊断可能具有挑战性.
研究的目的:
- 突出在儿科患者中识别HAE的重要性.
- 讨论诊断方法和早期诊断的影响.
主要方法:
- 一个女孩子的病例介绍,患有复发性胀.
- 实验室调查,包括补充水平 (C4,CH50) 和C1酶抑制剂 (C1-INH) 的评估.
- 使用Invitae遗传性血管水小组进行基因测试,专注于*SERPING1*基因.
主要成果:
- 患者出现了暗示HAE的症状,实验室发现C4,CH50和C1-INH抗原和功能的低水平.
- 基因分析发现了 *SERPING1* 基因 (c.686-7C>G) 中可能存在的致病变体.
结论:
- 儿童患者出现不明原因的胀,即使没有已知的家族病史,也应考虑HAE.
- 早期诊断和预防治疗的可用性,如lanadelumab对于改善HAE儿童的生活质量至关重要.
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