诊断和管理遗传性果糖不耐症的临床实践指南
Félix Úbeda1, Sonia Santander2, María José Luesma1
1Department of Human Anatomy and Histology, University of Zaragoza, 50009 Zaragoza, Spain.
Diseases (Basel, Switzerland)
|March 27, 2024
概括
早期诊断遗传性果糖不耐症 (HFI) 对于预防慢性并发症至关重要. 一个新的诊断算法有助于及时识别这种罕见的代谢障碍,改善患者的治疗结果.
科学领域:
- 代谢障碍 代谢障碍 代谢障碍
- 遗传学 是一个遗传学.
- 儿科内分泌学 儿科内分泌学
背景情况:
- 遗传性果糖不耐症 (HFI) 是一种罕见的自体递归代谢障碍,由阿尔多酶B基因功能障碍引起,每20,000人中就有1人受到影响.
- 虽然无果糖饮食提供了有利的预后,但慢性并发症仍然可能出现,这凸显了早期诊断的必要性.
- 在早期检测HFI的挑战仍然存在,尽管饮食管理.
研究的目的:
- 根据患者的症状,编制关于HFI差异诊断的信息.
- 促进开发用于早期HFI识别的诊断算法.
- 尽量减少与HFI相关的不良结果.
主要方法:
- 根据PRISMA指南进行的系统审查.
- 来自PubMed. 的经验研究分析.
- 在审查中包括35项相关研究.
主要成果:
- HFI的急性症状包括食后低血糖症,吐和腹部膨胀.
- 慢性并发症可能表现为脂肪肝,Fanconi综合征,生长缺陷和易怒肠综合征.
- 一个拟议的诊断算法旨在减少这些不良影响的发生率.
结论:
- 了解HFI的发病因子是及时诊断和预防慢性病的关键.
- 从儿科到成人医学的持续护理对于HFI管理至关重要.
- 向非儿科内分泌学家传播HFI信息对于有效的罕见病管理至关重要.
相关概念视频
Glucose Transporters
22.7K
Glucose transporters facilitate the transport of glucose across the cell membrane. In addition to glucose, some glucose transporters can also aid the movement of other hexoses such as fructose, mannose, and galactose.
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
22.7K
Chronic Pancreatitis II: Collaborative Care
86
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
86
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331
Inborn Errors of Metabolism
157
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
157
Serum Laboratory Studies, Stool Test, Breath Test
343
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
343
Acute Pancreatitis II: Clinical Manifestations and Management
122
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
122


