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2 例中国人胆固醇 27-羟化酶基因缺失致脑腱黄瘤病

2 Novel deletions of the sterol 27-hydroxylase gene in a Chinese Family with Cerebrotendinous Xanthomatosis.

机构信息

Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, 6 Tiantan Xili, Chongwen District, Beijing 100050, China.

出版信息

BMC Neurol. 2011 Oct 21;11:130. doi: 10.1186/1471-2377-11-130.

DOI:10.1186/1471-2377-11-130
PMID:22018287
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3226568/
Abstract

BACKGROUND

Cerebrotendinous xanthomatosis (CTX) is a rare lipid-storage disease. We investigated the clinic manifestation, histopathology and sterol 27-hydroxylase gene (CYP27A1) in a Chinese family with Cerebrotendinous Xanthomatosis (CTX).

CASE PRESENTATION

A 36-year-old female with typical CTX clinical manifestation had Spindle-shaped lipid crystal clefts in xanthomas and "onion-like demyelination" in sural nerve. The patient was compound heterozygote carrying two deletions in exon 1 (c.73delG) and exon 2 (c.369_375delGTACCCA). The family memebers were carriers.

CONCLUSIONS

A Chinese family with Cerebrotendinous Xanthomatosis had typical clinical manifestation. CYP27A1 mutations were found in the proband and all other family members.

摘要

背景

脑腱黄瘤病(CTX)是一种罕见的脂质贮积病。我们研究了一个中国脑腱黄瘤病(CTX)家系的临床表现、组织病理学和固醇 27-羟化酶基因(CYP27A1)。

病例介绍

一位 36 岁的女性具有典型的 CTX 临床表现,黄色瘤中有梭形脂晶裂隙,腓肠神经有“洋葱样脱髓鞘”。患者是复合杂合子,携带外显子 1(c.73delG)和外显子 2(c.369_375delGTACCCA)的两处缺失。家系成员为携带者。

结论

一个中国脑腱黄瘤病家系具有典型的临床表现。在先证者和所有其他家族成员中均发现 CYP27A1 突变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcc4/3226568/5dd4c0ba9820/1471-2377-11-130-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcc4/3226568/3c2f0e9c601e/1471-2377-11-130-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcc4/3226568/ac3ff4973917/1471-2377-11-130-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcc4/3226568/5dd4c0ba9820/1471-2377-11-130-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcc4/3226568/3c2f0e9c601e/1471-2377-11-130-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcc4/3226568/ac3ff4973917/1471-2377-11-130-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcc4/3226568/5dd4c0ba9820/1471-2377-11-130-3.jpg

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