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脂肪肝和转氨酶水平升高的罕见原因:查纳林-多夫曼综合征:一例报告

A rare cause of Fatty liver and elevated aminotransferase levels: chanarin-dorfman syndrome: a case report.

作者信息

Ersoy Ozdal, Alkım Canan, Onuk Mehmet Derya, Demirsoy Hüseyin, Argon Dilek

机构信息

Department of Gastroenterology, Şişli Etfal Training and Research Hospital, 34377 Istanbul, Turkey.

出版信息

Int J Hepatol. 2011;2011:341372. doi: 10.4061/2011/341372. Epub 2011 Jan 20.

DOI:10.4061/2011/341372
PMID:21994851
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3170759/
Abstract

Chanarin-Dorfman syndrome is a rare, inherited metabolic disorder of neutral lipid storage characterized by ichthyosis, lipid vacuoles in leukocytes, and involvement of several internal organs, mostly the liver. Since the initial case was reported by Dorfman in 1974, nearly 50 cases have been reported, and the majority were from Middle East countries. Here, we report a 20-year-old patient with ichthyosis from Turkey, diagnosed as Chanarin-Dorfman syndrome presented with asypmtomatic elevated transaminases and hepatosteatosis, and also briefly review the updated clinical implications and management of this rarely seen syndrome. Prompt diagnosis of this syndrome avoids further unnecessary investigations in patients with ichthyosis.

摘要

查纳林-多夫曼综合征是一种罕见的遗传性中性脂质储存代谢紊乱疾病,其特征为鱼鳞病、白细胞中的脂质空泡以及多个内脏器官受累,主要是肝脏。自1974年多夫曼报告首例病例以来,已报告了近50例病例,其中大多数来自中东国家。在此,我们报告一名来自土耳其的20岁鱼鳞病患者,被诊断为查纳林-多夫曼综合征,表现为无症状性转氨酶升高和肝脂肪变性,并简要回顾了这种罕见综合征的最新临床意义及治疗方法。对该综合征的及时诊断可避免对鱼鳞病患者进行进一步不必要的检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6fa/3170759/b5ec56995a0b/IJHEP2011-341372.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6fa/3170759/72cbcad2b919/IJHEP2011-341372.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6fa/3170759/acbf07f3523c/IJHEP2011-341372.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6fa/3170759/b5ec56995a0b/IJHEP2011-341372.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6fa/3170759/72cbcad2b919/IJHEP2011-341372.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6fa/3170759/acbf07f3523c/IJHEP2011-341372.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6fa/3170759/b5ec56995a0b/IJHEP2011-341372.003.jpg

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本文引用的文献

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Liver cirrhosis in an infant with Chanarin-Dorfman syndrome caused by a novel splice-site mutation in ABHD5.婴儿期患 Chanarin-Dorfman 综合征合并肝硬化一例,其病因是 ABHD5 基因新剪接位点突变。
Acta Paediatr. 2010 Oct;99(10):1592-4. doi: 10.1111/j.1651-2227.2010.01869.x.
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Crucial role of CGI-58/alpha/beta hydrolase domain-containing protein 5 in lipid metabolism.CGI-58/alpha/beta 水解酶结构域包含蛋白 5 在脂代谢中的关键作用。
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Tzanck smear finding of Dorfman-Chanarin syndrome.
多夫曼-查纳林综合征的Tzanck涂片检查结果。
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Dorfman-Chanarin syndrome.多夫曼-查纳林综合征
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A rare cause of steatohepatitis.脂肪性肝炎的一种罕见病因。
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Images of interest. Hepatobiliary and pancreatic: Dorfman-Chanarin syndrome.
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Steatohepatitis and unsuspected micronodular cirrhosis in Dorfman-Chanarin syndrome with documented ABHD5 mutation.伴有已记录ABHD5突变的 Dorfman-Chanarin 综合征中的脂肪性肝炎和隐匿性小结节性肝硬化。
J Pediatr. 2004 May;144(5):662-5. doi: 10.1016/j.jpeds.2004.01.036.
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