三个兄弟姐妹患有罕见的家族高酸盐血症综合征:一个案例系列
Zaid A Sowaity1, Jaber Y Saleem1, Tayseer N Sabooh1
1Faculty of Medicine, Al-Quds University, Jerusalem, PSE.
Cureus
|April 5, 2024
概括
家庭瘤结症是一种罕见的遗传性疾病,涉及骨和软组织化,原因是像GALNT3.3这样的突变. 早期诊断依赖于识别高酸血症和骨异常.
科学领域:
- 遗传学 是一个遗传学.
- 内分泌学 在内分泌学.
- 罕见疾病 罕见疾病
背景情况:
- 家庭瘤结核病 (HFTC) 和高酸血症高静止综合征 (HHS) 是一种罕见的自体逆向性疾病.
- 这些疾病源于GALNT3,FGF23或KL基因的突变,导致高酸血和化.
- 管理包括酸盐降低疗法,抗炎药物和严重病例的手术.
研究的目的:
- 报告一个血缘家庭中三例HFTC/HHS病例.
- 为了确定该家族中导致疾病的特定基因突变.
- 强调对罕见的高酸性化综合征的诊断考虑.
主要方法:
- 来自一个家庭的三个受影响个体的临床病例描述.
- 基因分析以确定候选基因 (GALNT3,FGF23,KL) 中的突变.
- 对临床表现,生化发现和诊断方法的审查.
主要成果:
- 这三名患者都在GALNT3基因 (c.1524+1 G>A,IVS8+1) 的第八个内置突变中具有同位素突变.
- 临床表现各不相同,包括模仿慢性骨髓炎的症状,脏质质和腿部疼痛.
- 酸盐水平升高是一个一致的生化发现.
结论:
- 一个同卵性GALNT3突变是这个家族中HFTC/HHS的原因.
- 多样化的临床表现突显了这些罕见疾病的多样化表现.
- 怀疑瘤结石症/骨异常与高酸盐血症需要调查,辅助家庭病史和生物化学数据.
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