[两个ELF4基因X关联缺陷病例和文献综述]
Y Zhou1, L L Wang2, C Y Zhang2
1Department of Pediatrics, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing100730, China.
Zhonghua er ke za zhi = Chinese journal of pediatrics
|November 20, 2024
概括
在ELF4基因X链接 (DEX) 缺陷呈现于早期发病的男性,有复发性,腹痛和升高的炎症标志物. 基因检测和免疫分析对于诊断这种罕见疾病至关重要.
科学领域:
- 遗传学和免疫学 遗传学和免疫学
- 罕见的X相关疾病.
- 胃肠道疾病 胃肠道疾病
背景情况:
- 缺少ELF4基因X链接 (DEX) 是一种罕见的遗传性疾病.
- 了解其临床和遗传谱系对于诊断和管理至关重要.
- 有限的文献存在,特别是在中国的数据库中.
研究的目的:
- 总结DEX的临床表型和遗传特征.
- 确定DEX的关键诊断标记和特征.
- 审查现有的文献,并提出新的案例发现.
主要方法:
- 2名DEX患者的回顾性病例系列.
- 在PubMed,CNKI和Wanfang数据库中进行全面的文献搜索.
- 临床数据的分析,遗传测试 (整个外体序列) 和免疫功能.
主要成果:
- 两名男性患者出现了复发性口腔,腹部疼痛,炎症标志物升高和肠道.
- 基因分析显示了ELF4基因变异 (c.799C>T,p Arg267Trp和c.248-7G>A).
- 对18名患者的文献综述显示,常见症状包括发烧,口腔,腹痛,胃肠,自然杀手和B细胞减少.
结论:
- 在患有复发性发烧,口腔,炎症标志物升高和潜在的复发性感染的早期男性中,应该怀疑DEX.
- 淋巴细胞子集分析,胃肠内镜和基因检测是诊断的建议.
- 早期诊断和向治疗对于管理这种罕见的X关联疾病至关重要.
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