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Barth综合征1例临床及基因突变分析
引用本文:闫茹,诸澎伟,周坚. Barth综合征1例临床及基因突变分析[J]. 临床儿科杂志, 2019, 37(6): 454-456. DOI: 10.3969/j.issn.1000-3606.2019.06.013
作者姓名:闫茹  诸澎伟  周坚
作者单位:无锡市人民医院/儿童医院儿科实验室 江苏无锡 214000;无锡市人民医院/儿童医院儿急诊科 江苏无锡 214000
基金项目:无锡市临床重点专科项目(No.2017EJZSZD)
摘    要:目的探讨Barth综合征(BTHS)的临床表现及遗传学特征。方法回顾分析1例BTHS患儿的临床资料。结果患儿,男,10月龄,以左室增大,爆发性心肌炎,心力衰竭,肌无力,单核细胞增多,低血糖,乳酸性酸中毒,腹泻,面部异常等为主要表现。基因测序显示TAZ基因存在一个错义突变(c.406 C>T,p.Cys 136 Arg),突变来自患儿母亲。结论扩充了中国BTHS的基因突变谱及临床特征。

关 键 词:Barth综合征  心力衰竭  TAZ基因

Clinical manifestation and gene mutation analysis of Barth syndrome in a child
YAN Ru,ZHU Pengwei,ZHOU Jian. Clinical manifestation and gene mutation analysis of Barth syndrome in a child[J]. The Journal of Clinical Pediatrics, 2019, 37(6): 454-456. DOI: 10.3969/j.issn.1000-3606.2019.06.013
Authors:YAN Ru  ZHU Pengwei  ZHOU Jian
Affiliation:1.Pediatric Laboratory, 2.Pediatric Emergency Department, Wuxi Children’s Hospital , Wuxi 214000, Jiangsu, China
Abstract:Objective To explore the clinical manifestations and genetic characteristics of Barth syndrome(BTHS).Method The clinical data of BTHS in a child were retrospectively analyzed.Results A 10-month-old boy had the main manifestations of left ventricular enlargement,fulminant myocarditis,heart failure,muscle weakness,mononucleosis,hypoglycemia,lactic acidosis,diarrhea and facial abnormalities.Gene sequencing revealed a missense mutation in TAZ gene(c.406C>T,p.Cys136Arg),which came from his mother.Conclusion The gene mutation spectrum and clinical characteristics of BTHS in China were expanded.
Keywords:Barth syndrome   heart failure   TAZ gene,
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