患有ZFYVE19变种的患者的临床特征和长期结果
Jia-Qi Li1, Yue-Yong Zhu2, Mei-Yan Xue2
1The Center for Pediatric Liver Diseases, Children's Hospital of Fudan University, Shanghai, 201102, China.
概括
ZFYVE19缺乏主要影响肝脏,经常导致新生儿胆固醇病,需要进行肝移植 (LT). 经过LT后的结果是积极的,即使有父母移植,也没有观察到任何显著的长期并发症.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 遗传学 是一个遗传学.
- 儿科胃肠病学 儿科胃肠病学
背景情况:
- 与ZFYVE19相关的渐进性家族性肝内胆固醇症是一种罕见的遗传性疾病.
- 关于这种情况的自然史和长期结果的信息有限.
研究的目的:
- 调查ZFYVE19缺乏的长期结果.
- 专门评估受影响患者的肝移植 (LT) 后的结果.
主要方法:
- 对13名被遗传诊断为ZFYVE19缺乏症的中国人的医学数据进行了回顾性审查.
- 分析包括临床表现,治疗和移植结果.
主要成果:
- 所有13名患者在ZFYVE19中都有双式零变异,并且活着,平均年龄为13.2岁.
- 常见的初始表现包括新生儿胆固醇症,异常的肝脏生物标志物或门口高血压.
- 六名患者接受了LT,所有人都存活下来,结果良好,没有随后的主要器官并发症.
结论:
- ZFYVE19 缺陷主要影响肝脏,双性零变体导致疾病进展.
- 肝移植是婴儿期末期肝病的可行选择,具有有利的长期结果.
- 乌尔索西胆酸可能会提供暂时的好处,但不会阻止在严重情况下需要LT.
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