伴随性疾病的终身负担增加而没有增加遗传性低血症的早期死亡率:一项丹麦注册研究
Signe Sparre Beck-Nielsen1,2, Rikke Færgemann Hansen3, Ulla Ege Johansen3
1Centre for Rare Diseases, Department of Pediatrics, Aarhus University Hospital, DK-8200 Aarhus, Denmark.
JBMR plus
|September 29, 2025
概括
遗传性低度血症 (HH) 患者在生命早期经历更高的并发症负担,如关节炎和听力损失. 然而,与对照组相比,这些并发症不会增加死亡风险.
科学领域:
- 罕见疾病是一种罕见的疾病.
- 内分泌学 在内分泌学.
- 遗传学 是一个遗传学.
背景情况:
- 遗传性低血症 (HH) 是一种罕见的遗传性疾病,导致脏酸盐消耗.
- 它会导致儿童患,成年人患骨质.
- 以前的研究表明,HH患者的并发症负担和死亡率更高.
研究的目的:
- 为了调查遗传性低酸血症的终身并发症.
- 评估与对照组相比,HH患者的并发症和生存之间的关联.
主要方法:
- 从丹麦国家患者登记册 (1971-2019) 中确定了HH病例.
- 通过医疗档案审查验证诊断.
- 匹配了120名HH患者与来自丹麦民事登记系统的6000名对照.
主要成果:
- HH患者的并发症负担明显更高,诊断得更早.
- 在高血压患者中增加了关节炎,听力损失,甲状腺功能障碍,功能衰竭,高血压和肥胖的终身风险.
- 在HH患者中没有观察到缺血性心脏病或整体死亡率的显著增加.
结论:
- 遗传性低酸血症与一生中各种并发症的大幅增加有关.
- 尽管伴随性疾病负担增加,但HH似乎不会显著增加整体死亡风险.
相关概念视频
Chronic Kidney Disease II: Clinical Manifestations
555
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
555
Cardiomyopathy III: Hypertrophic Cardiomyopathy
411
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
411
Bone Disorders
5.1K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
5.1K
Inborn Errors of Metabolism
697
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...
697
Cancer Prevention
7.7K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
7.7K
Pulmonary Hypertension: Classification and Pathogenesis
576
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
576
