Sfaihi Lamia, Aloulou Hajer, Ben Amor Saloua, Kamoun Thouraya, Hachicha Mongia
Department of Pediatrics, CHU Hedi Chaker, Sfax, Tunisia.
Fetal Pediatr Pathol. 2013 Feb;31(1):66-70. doi: 10.3109/15513815.2012.671445. Epub 2012 Apr 12.
Cystinosis is the major cause of inherited Fanconi syndrome, and should be suspected in young children with a failure to thrive and with signs of renal proximal tubular damage. This is a study of a case report of cystinosis revealed by a growth failure and chronic dehydration. A 9-month-old boy was referred to our department for evaluation of polyuria and polydipsia. Clinical examination showed dehydration and enlarged wrists and rachitic rosaries. The presence of metabolic acidosis, hypokalemia, hypochloremia with proteinuria, polyuria, and hypercalciuria was suggestive of inherited Fanconi syndrome. The diagnosis of cystinosis was confirmed by an increased leukocyte cystine level.
胱氨酸病是遗传性范科尼综合征的主要病因,对于生长发育不良且有近端肾小管损害迹象的幼儿应怀疑此病。本文报告了一例因生长发育迟缓及慢性脱水而确诊的胱氨酸病病例。一名9个月大的男童因多尿和烦渴被转诊至我科。临床检查发现脱水、手腕增粗及佝偻病串珠。代谢性酸中毒、低钾血症、低氯血症伴蛋白尿、多尿及高钙尿症提示为遗传性范科尼综合征。白细胞胱氨酸水平升高证实了胱氨酸病的诊断。