University of Arkansas for Medical Sciences and Arkansas Children's Hospital, 1 Children's Way, # 512-17, Little Rock, AR 72202, USA.
J Cyst Fibros. 2010 Jul;9(4):269-71. doi: 10.1016/j.jcf.2010.04.007. Epub 2010 May 26.
To report two patients with associated conditions in addition to cystic fibrosis.
We reviewed our database and report two patients with cystic fibrosis who had associated conditions. These patients also had novel disease causing CFTR mutations on full gene sequence analysis.
We identified 2 patients with novel disease causing cystic fibrosis transmembrane conductance regulator mutations that we report here. A 12-year-old female with cystic fibrosis, diagnosed at 18months, had normal pulmonary function tests and chest X-ray. Her main cystic fibrosis-related health issue was poor growth. Results of cystic fibrosis transmembrane conductance regulator DNA analysis showed deltaF508; L467P; and 7T/9T. She was later diagnosed with Crohn's disease. An 11-year-old male with Rubinstein-Taybi syndrome, diagnosed with cystic fibrosis at 2years of age, had minimal findings on chest X-ray and pancreatic insufficiency. Results of his cystic fibrosis transmembrane conductance regulator DNA analysis showed deltaF508; 4329delCT; and 7T/9T.
We report 2 patients with CF who had associated conditions and also had novel disease causing CFTR mutations. Associated conditions may worsen the clinical manifestations of CF and complicate medical management.
报告除囊性纤维化以外还伴有其他合并症的 2 例患者的情况。
我们对数据库进行了回顾,并报告了 2 例伴有其他合并症的囊性纤维化患者。这些患者在进行全基因序列分析时,还发现了新的致病变异型 CFTR 基因突变。
我们在此鉴定出 2 例新的致病变异型 CFTR 基因突变的囊性纤维化患者。一名 12 岁的女性,18 个月时被诊断为囊性纤维化,其肺功能测试和胸部 X 射线结果正常。她主要的囊性纤维化相关健康问题是生长不良。囊性纤维化跨膜电导调节因子 DNA 分析结果显示 deltaF508;L467P;和 7T/9T。她后来被诊断为克罗恩病。一名 11 岁的男性患有 Rubinstein-Taybi 综合征,2 岁时被诊断为囊性纤维化,胸部 X 射线检查结果轻微,胰腺功能不全。他的囊性纤维化跨膜电导调节因子 DNA 分析结果显示 deltaF508;4329delCT;和 7T/9T。
我们报告了 2 例伴有其他合并症且存在新的致病变异型 CFTR 基因突变的 CF 患者。合并症可能会加重 CF 的临床表现并使医疗管理复杂化。