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先天性氯性腹泻患儿的随访:一例新型突变病例报告

Follow-up of a child with congenital chloride diarrhoea caused by a novel mutation.

机构信息

Department of General Pediatrics and Neonatology, University Children's Hospital, Giessen, Germany.

出版信息

Acta Paediatr. 2012 Jun;101(6):e256-9. doi: 10.1111/j.1651-2227.2012.02610.x.

Abstract

UNLABELLED

Congenital chloride diarrhoea (CLD) is a rare autosomal recessive disease with chronic secretory diarrhoea and a need for lifelong salt replacement therapy. We describe a male newborn of consanguineous parents with CLD. Postnatally, frequent watery diarrhoea and electrolyte disturbances were noted from the day 8 of his life. At molecular level, a homozygous mutation was detected in the solute carrier family 26 member A3 gene (SLC26A3), confirming the clinical diagnosis of CLD.

CONCLUSION

The relatively late onset of persistent clinical and laboratory signs may demonstrate a new clinical course of CLD. These findings support the need of a tight follow-up and monitoring if such a diagnosis is considered.

摘要

目的

先天性氯性腹泻(CLD)是一种罕见的常染色体隐性疾病,表现为慢性分泌性腹泻,需要终身盐替代治疗。我们描述了一例由近亲父母生育的 CLD 男性新生儿。患儿生后 8 天出现频繁水样腹泻和电解质紊乱。分子水平上,溶质载体家族 26 成员 A3 基因(SLC26A3)存在纯合突变,明确 CLD 的临床诊断。

结论

持续的临床和实验室表现出现相对较晚,可能提示 CLD 的一种新的临床病程。这些发现支持如果考虑这种诊断,需要进行密切随访和监测。

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