Millington Karmaine A, Mani Haresh
Department of Pathology, Pennsylvania State Milton S. Hershey Medical Center, Hershey, PA, USA.
Pediatr Dev Pathol. 2013 May-Jun;16(3):210-3. doi: 10.2350/12-07-1226-CR.1. Epub 2013 Jan 25.
Type 2 congenital pulmonary airway malformation (CPAM) has been reported in association with many other congenital anomalies. To the best of our knowledge, however, an association of type 2 CPAM with congenital nephrotic syndrome has not been heretofore reported. We present the 1st report of such an association in a boy who had a prenatal diagnosis of cystic lung malformation and was found to have congenital nephrotic syndrome (diffuse mesangial sclerosis) at 1 month of age. A prenatal ultrasonogram had also shown oligohydramnios, and additionally the child had cleft lip and palate. There was no family history of childhood renal or pulmonary disease, and genetic testing for genes mutated in congenital nephrotic syndrome was negative.
2型先天性肺气道畸形(CPAM)已被报道与许多其他先天性异常相关。然而,据我们所知,2型CPAM与先天性肾病综合征的关联此前尚未见报道。我们首次报告了一名男孩存在这种关联,该男孩产前诊断为肺囊性畸形,1月龄时被发现患有先天性肾病综合征(弥漫性系膜硬化)。产前超声检查还显示羊水过少,此外该患儿还患有唇腭裂。患儿无儿童期肾脏或肺部疾病家族史,对先天性肾病综合征中发生突变的基因进行的基因检测结果为阴性。