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转钴胺素II缺乏症:病例报告及文献综述

Transcobalamin II deficiency: case report and review of the literature.

作者信息

Kaikov Y, Wadsworth L D, Hall C A, Rogers P C

机构信息

Department of Paediatrics, University of British Columbia, British Columbia Children's Hospital, Vancouver, Canada.

出版信息

Eur J Pediatr. 1991 Oct;150(12):841-3. doi: 10.1007/BF01955004.

DOI:10.1007/BF01955004
PMID:1743216
Abstract

A male Caucasian infant presented at 6 weeks of age with failure to thrive, diarrhoea, macrocytic anaemia, and decreased IgG. He had normal serum B12 and folate levels. Serum cobalamin binding capacity showed no detectable transcobalamin II. Both parents showed levels consistent with a heterozygous state. The literature is extensively reviewed, and the importance of early diagnosis to prevent neurological dysfunction is stressed.

摘要

一名6周大的白人男婴出现生长发育迟缓、腹泻、大细胞性贫血和免疫球蛋白G降低的症状。他的血清维生素B12和叶酸水平正常。血清钴胺素结合能力检测显示未检测到转钴胺素II。父母双方的检测结果均显示为杂合子状态。对相关文献进行了广泛综述,并强调了早期诊断对预防神经功能障碍的重要性。

相似文献

1
Transcobalamin II deficiency: case report and review of the literature.转钴胺素II缺乏症:病例报告及文献综述
Eur J Pediatr. 1991 Oct;150(12):841-3. doi: 10.1007/BF01955004.
2
[Megaloblastic anemia caused by a congenital deficiency of transcobalamin II. Apropos of a new case].[先天性转钴胺素II缺乏所致巨幼细胞贫血。附1例新病例报告]
Sangre (Barc). 1989 Oct;34(5):365-7.
3
Transcobalamin II deficiency presenting with methylmalonic aciduria and homocystinuria and abnormal absorption of cobalamin.伴有甲基丙二酸尿症、高胱氨酸尿症及钴胺素吸收异常的转钴胺素II缺乏症。
Am J Med Genet. 1990 Feb;35(2):222-8. doi: 10.1002/ajmg.1320350216.
4
Transcobalamin II deficiency with methylmalonic aciduria in three sisters.三姐妹中存在伴有甲基丙二酸尿症的转钴胺素II缺乏症。
J Inherit Metab Dis. 1999 Oct;22(7):765-72. doi: 10.1023/a:1005507204491.
5
Inherited lack of transcobalamin II in serum and megaloblastic anaemia: a further patient.
Br J Haematol. 1979 Sep;43(1):27-38. doi: 10.1111/j.1365-2141.1979.tb03716.x.
6
Transcobalamin II Deficiency in Four Cases with Novel Mutations.4例伴有新突变的转钴胺素II缺乏症
Turk J Haematol. 2015 Dec;32(4):317-22. doi: 10.4274/tjh.2014.0154. Epub 2015 Apr 27.
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Transcobalamin II deficiency associated with unusual bone marrow findings and chromosomal abnormalities.与异常骨髓表现和染色体异常相关的转钴胺素II缺乏症。
Am J Hematol. 1983 Feb;14(1):89-96. doi: 10.1002/ajh.2830140111.
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Congenital transcobalamin II deficiency presenting atypically with a low serum cobalamin level: studies demonstrating the coexistence of a circulating transcobalamin I (R binder) complex.非典型表现为血清钴胺素水平降低的先天性转钴胺素II缺乏症:研究证实循环转钴胺素I(R结合蛋白)复合物共存。
Blood. 1984 Mar;63(3):598-605.
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Different Presentations of Patients with Transcobalamin II Deficiency: A Single-Center Experience from Turkey.转钴胺素II缺乏症患者的不同表现:来自土耳其的单中心经验
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Hereditary partial transcobalamin II deficiency with neurologic, mental and hematologic abnormalities in children and adults.儿童及成人遗传性部分转钴胺素II缺乏伴神经、精神及血液学异常
Isr Med Assoc J. 2003 Dec;5(12):868-72.

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Proteomic and transcriptomic analyses identify apo-transcobalamin-II as a biomarker of overall survival in osteosarcoma.蛋白质组学和转录组学分析确定脱辅基转钴胺素-II为骨肉瘤总生存期的生物标志物。
Front Oncol. 2024 Oct 18;14:1417459. doi: 10.3389/fonc.2024.1417459. eCollection 2024.
2
Transcobalamin deficiency - a rare genetic defect in transportation of cobalamin; case report.转钴胺素缺陷症——钴胺素转运的罕见遗传性缺陷;病例报告。
Ann Hematol. 2024 Aug;103(8):3243-3246. doi: 10.1007/s00277-024-05878-7. Epub 2024 Jul 8.
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Different Presentations of Patients with Transcobalamin II Deficiency: A Single-Center Experience from Turkey.

本文引用的文献

1
Studies of a patient with megaloblastic anemia and an abnormal transcobalamin II.对一名患有巨幼细胞贫血且转钴胺素II异常的患者的研究。
N Engl J Med. 1980 Nov 20;303(21):1209-12. doi: 10.1056/NEJM198011203032105.
2
Vitamin B12--binding proteins.
Physiol Rev. 1980 Jul;60(3):918-60. doi: 10.1152/physrev.1980.60.3.918.
3
Congenital disorders of vitamin B12 transport and their contributions to concepts. II.维生素B12转运的先天性疾病及其概念贡献。II.
Yale J Biol Med. 1981 Nov-Dec;54(6):485-95.
转钴胺素II缺乏症患者的不同表现:来自土耳其的单中心经验
Turk J Haematol. 2019 Feb 7;36(1):37-42. doi: 10.4274/tjh.galenos.2018.2018.0230. Epub 2018 Sep 6.
4
Recent advances in treatment of severe primary immunodeficiencies.严重原发性免疫缺陷病治疗的最新进展
F1000Res. 2015 Dec 16;4. doi: 10.12688/f1000research.7013.1. eCollection 2015.
5
Inborn errors of metabolism underlying primary immunodeficiencies.原发性免疫缺陷潜在的先天性代谢缺陷。
J Clin Immunol. 2014 Oct;34(7):753-71. doi: 10.1007/s10875-014-0076-6. Epub 2014 Aug 1.
6
A novel mutation of the transcobalamin II gene in an infant presenting with hemophagocytic lymphohistiocytosis.一名患有噬血细胞性淋巴组织细胞增生症的婴儿中钴胺素II基因的新型突变。
Int J Hematol. 2014;99(5):659-62. doi: 10.1007/s12185-014-1545-7. Epub 2014 Feb 22.
7
Update on transcobalamin deficiency: clinical presentation, treatment and outcome.转钴胺素缺乏症的最新情况:临床表现、治疗及预后
J Inherit Metab Dis. 2014 May;37(3):461-73. doi: 10.1007/s10545-013-9664-5. Epub 2013 Dec 5.
8
Expanding the Spectrum of Methylmalonic Acid-Induced Pallidal Stroke: First Reported Case of Metabolic Globus Pallidus Stroke in Transcobalamin II Deficiency.扩大甲基丙二酸诱导的苍白球卒中的范围:首例报道的转钴胺素II缺乏症所致代谢性苍白球卒中病例
JIMD Rep. 2013;11:7-11. doi: 10.1007/8904_2013_215. Epub 2013 Feb 21.
9
Vitamin B(12) deficiency in infants secondary to maternal causes.继发于母体原因的婴儿维生素B12缺乏症。
CMAJ. 2012 Oct 2;184(14):1593-8. doi: 10.1503/cmaj.112170. Epub 2012 Jun 18.
10
Should transcobalamin deficiency be treated aggressively?是否应积极治疗转钴胺素缺乏症?
J Inherit Metab Dis. 2010 Jun;33(3):223-9. doi: 10.1007/s10545-010-9074-x. Epub 2010 Mar 30.
4
Hereditary transcobalamin II deficiency presenting as red cell hypoplasia.
J Pediatr. 1982 Nov;101(5):732-5. doi: 10.1016/s0022-3476(82)80304-1.
5
Neurological involvement in hereditary transcobalamin II deficiency.遗传性转钴胺素II缺乏症的神经系统受累情况。
J Neurol Neurosurg Psychiatry. 1982 Jan;45(1):74-7. doi: 10.1136/jnnp.45.1.74.
6
Transcobalamin II deficiency associated with unusual bone marrow findings and chromosomal abnormalities.与异常骨髓表现和染色体异常相关的转钴胺素II缺乏症。
Am J Hematol. 1983 Feb;14(1):89-96. doi: 10.1002/ajh.2830140111.
7
Hereditary abnormal transcobalamin II previously diagnosed as congenital dihydrofolate reductase deficiency.
N Engl J Med. 1984 Mar 22;310(12):789-90. doi: 10.1056/nejm198403223101217.
8
Congenital transcobalamin II deficiency presenting atypically with a low serum cobalamin level: studies demonstrating the coexistence of a circulating transcobalamin I (R binder) complex.非典型表现为血清钴胺素水平降低的先天性转钴胺素II缺乏症:研究证实循环转钴胺素I(R结合蛋白)复合物共存。
Blood. 1984 Mar;63(3):598-605.
9
Hereditary transcobalamin II deficiency with subnormal serum cobalamin levels.遗传性转钴胺素II缺乏伴血清钴胺素水平低于正常。
Pediatrics. 1984 Nov;74(5):866-71.
10
Genetic patterns of transcobalamin II and the relationships with congenital defects.转钴胺素II的遗传模式及其与先天性缺陷的关系。
Mol Cell Biochem. 1983;56(1):5-31. doi: 10.1007/BF00228765.