囊病的表型变异性:从一个非典型病例中吸取教训
Diego Toso1, Monica Furlano2, Adria Tinoco2
1Inherited Kidney Diseases, Nephrology Department, Fundació Puigvert, IR Sant Pau, Spain; RICORS2040 (Kidney Disease), ERKNet Reference Centre, Universitat Autonoma de Barcelona, Spain; Nephrology and Dialysis Department, ASST Spedali Civili of Brescia, Italy; ERKNet Reference Centre, University of Brescia, Italy.
囊病是一种罕见的遗传疾病,导致囊的积累. 这一案例表明持续的囊胺治疗,即使是晚期诊断,也有效地管理了囊症并发症.
科学领域:
- 遗传学 是一个遗传学.
- 生物化学 生化学
- 儿科 儿科 儿科
背景情况:
- 囊病是一种罕见的单源性自体衰退性疾病.
- 在CTNS基因的致病变异导致cysteinosin功能丧失.
- 细胞内囊的积累导致细胞功能障碍和多系统性疾病.
研究的目的:
- 报告一个婴儿囊症病例.
- 为了突出囊胺治疗的长期结果.
- 为了强调持续坚持治疗的重要性.
主要方法:
- 基因检测发现了两个CTNS截断变体:c.519_520del p.
- 患者接受了口服和局部的囊胺治疗.
- 监测了白细胞囊水平.
主要成果:
- 尽管在两岁时被诊断为晚期,但该患者的白细胞囊水平仍低于上限.
- 囊病的脏和外表现得到了很好的控制.
- 该患者接受了未经批准的,非传统的剂量治疗方案.
结论:
- 这一案例证明了囊病的显著表型变异性.
- 持续的囊胺治疗对于有利的长期结果至关重要.
- 即使较晚开始和非常规的剂量,也可以实现有效的管理.
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