ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (4): 277-279.

• 儿科罕见病专栏 •    下一篇

葡萄糖脑苷脂酶基因复合杂合突变致戈谢病Ⅱ型1例

  

  • 出版日期:2022-08-25 上线日期:2023-11-29

A case of Gaucher disease type Ⅱ caused by glucocererosidase gene compound heterozygous mutations

  • Published:2022-08-25 Online:2023-11-29

摘要: 目的 分析临床罕见病戈谢病的临床特征及基因特点。方法 回顾性分析我院收治的1例10月龄贫血患儿的临床相关资料及全外显子基因检测结果。结果 患儿女孩,贫血、肝脾肿大、喉软骨软化及生长发育落后;检测到患儿葡萄糖脑苷脂酶(GBA)基因存在2个杂合突变:c.588+1G>A(splicing),c.1448T>C(p.L483P),分别来源于先证者父母。结论戈谢病Ⅱ型是一种在婴儿期发病的急性神经型戈谢病,为戈谢病的罕见类型,通常表现为贫血、肝脾肿大、发育倒退和生长发育停滞,伴急性神经系统损害,其临床特征及基因分析对其明确诊断具有重要意义

关键词: 戈谢病, GBA基因, 遗传代谢病, 肝脾肿大, 儿童

Abstract: ObjectiveTo analyze the clinical characteristics and genetic features of Gaucher disease that is rare clinically.MethodsThe related clinical data and the results of whole exons gene testing of a 10-month patient with anemia in our hospital were retrospectively analyzed.ResultsThe patient was female,who presented with anemia,hepatosplenomegaly,laryngomalacia and growth and development retardation.It was found through testing that there were two heterozygous mutation in glucocererosidase(GBA) gene:c.588+1G>A(splicing) and c.1448T>C(p.L483P),which came from her parents.ConclusionGaucher disease type Ⅱ is an acute neurological Gaucher disease with the onset at infancy,which is a rare type.The disease is usually presented as anemia,hepatosplenomegaly,development regression,and growth and development arrest.It is often complicated with acute nervous damage,and its clinical features and genetic analysis are of great significance in confirming the diagnosis.

Key words:

Gaucher disease, GBA gene, Inherited metabolic disease, Hepatosplenomegaly, Children