二氧化碳无水酶II缺乏:阿拉伯突变的不寻常呈现. 一个案例报告
Yazeed Alayed1, Wesam Alghamdi2, Rafah Alyousef2
1Department of Pediatric, Children's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
Global pediatric health
|February 8, 2024
概括
碳酸 anhydrase II 缺乏症是一种罕见的代谢障碍,可能会出现骨折和代谢酸症. 早期识别至关重要,即使没有典型的发育延迟.
科学领域:
- 遗传学和新陈代谢
- 儿科内分泌学 儿科内分泌学
- 骨发育不良症 骨发育不良症
背景情况:
- 二氧化碳无酶II (CAII) 缺乏症是一种极其罕见的代谢先天性错误.
- 它通常呈现为骨质疏松症,管化症 (RTA) 和脑内化.
- 与其他骨质疏松症亚型不同,发育迟缓和频繁的骨折并不总是具有特征.
研究的目的:
- 报告一个儿科病人的二氧化碳无水酶II缺乏病例.
- 突出诊断挑战和疾病的非典型表现.
- 强调考虑CA II缺陷在具有低伤害机制的儿科骨折中的重要性.
主要方法:
- 一个11岁男孩的病例报告,带有骨骨折和代谢障碍.
- 临床表现包括呼吸困难,低血糖症和代谢性酸症.
- 通过全外体序列测序 (WES) 证实了诊断,揭示了CA2基因中的一种致病变体.
主要成果:
- 患者经历了双边中轴骨折,使用了低能量的机制.
- 尽管进行了干预,但仍有持续的低血和代谢性酸症.
- WES证实了因CA2基因中独特的阿拉伯基因突变而导致的RTA的III型自体递归骨质疏松症.
结论:
- 儿科患者的低能量的骨折应该引起对碳酸无水酶II缺乏的怀疑.
- 这一案例突显了CA II缺陷的非典型表现,没有发育迟缓.
- 早期诊断至关重要,特别是当骨折发生时,儿童的创伤最小.
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