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Updated: Jan 20, 2026

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在ETHE1中由双切断变体引起的乙基马龙脑病变:病例报告
Delmer-Alejandro Ruiz-Martinez1, Emilio-Rodrigo Vega-Peniche1, Yazmin Quiñonez-Pacheco2
1School of Medical Sciences, Marista University, Merida, YUC, Mexico.
SAGE open medical case reports
|January 19, 2026
概括
乙基性脑病,一种罕见的线粒体疾病,是由ETHE1基因变异引起的,导致硫化积聚. 这份报告详细介绍了墨西哥的第一个病例,强调了诊断方面的挑战和需要更广泛的认识.
科学领域:
- 生物化学 生物化学
- 遗传学 是一个遗传学.
- 儿科 儿科 儿科
背景情况:
- 乙基性脑病是一种罕见的自体递归线粒体疾病,与ETHE1基因突变有关.
- 缺少ETHE1会影响硫化排毒,导致代谢功能障碍和严重的临床症状.
- 报告的病例很少见,拉丁美洲的数据有限.
研究的目的:
- 报告墨西哥患者的第一个乙基马龙脑病变病例.
- 在这个独特的案例中描述临床表现和遗传发现.
- 强调在差异诊断中考虑这种疾病的重要性.
主要方法:
- 临床病例介绍和详细的病史.
- 生物化学分析,包括乙卡尼丁概况和尿道有机酸.
- 整体外基因组测序以识别ETHE1基因中的致病变体.
主要成果:
- 在ETHE1基因中发现了一种新型同卵性框架转移致病变体 (c.19_20dup).
- 患者出现了严重的症状,包括慢性腹,代谢性酸性化,神经系统恶化和微血管异常.
- 尽管得到了支持性护理,但患者病情逐渐恶化,并在15个月大时死亡.
结论:
- 这种情况扩大了已知的ETHE1突变谱.
- 它强调了乙基马龙脑病变作为婴儿无法解释的腹,血管问题和神经衰退的关键差异诊断.
- 提高意识至关重要,特别是在像拉丁美洲这样的代表性不足的地理区域.
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