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先天性低转铁蛋白血症——缺铁性贫血的罕见病因:两例报告

Congenital Hypotransferrinemia, an Unusual Cause of Iron Deficiency Anemia: Report of Two Cases.

作者信息

Chandra Dinesh, Dhingra Bhavna, Seth Tulika, Mishra Pravas, Bansal Divya, Mahapatra Manoranjan, Pati H P

机构信息

Department of Haematology, AIIMS, New Delhi, India.

Department of Pediatrics, AIIMS, Bhopal, India.

出版信息

Indian J Hematol Blood Transfus. 2017 Sep;33(3):402-404. doi: 10.1007/s12288-016-0746-z. Epub 2016 Nov 16.

DOI:10.1007/s12288-016-0746-z
PMID:28824244
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5544637/
Abstract

Hereditary hypotransferrinemia is a very rare cause of iron deficiency anemia in childhood characterized by microcytic hypochromic anemia refractory to iron therapy and concomitant iron overload. Regular plasma infusion to replace the deficient transferrin molecule is the therapeutic option. We report two cases; both presented with refractory anemia requiring blood transfusions and responded to monthly fresh frozen plasma replacement.

摘要

遗传性低转铁蛋白血症是儿童缺铁性贫血的一种非常罕见的病因,其特征为小细胞低色素性贫血,对铁剂治疗无效且伴有铁过载。定期输注血浆以补充缺乏的转铁蛋白分子是治疗选择。我们报告两例病例;二者均表现为难治性贫血,需要输血,且对每月一次的新鲜冷冻血浆置换有反应。

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Indian J Hematol Blood Transfus. 2017 Sep;33(3):402-404. doi: 10.1007/s12288-016-0746-z. Epub 2016 Nov 16.
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本文引用的文献

1
Severe hypochromic microcytic anemia in a patient with congenital atransferrinemia.一名先天性转铁蛋白缺乏症患者出现严重低色素小细胞性贫血。
Pediatr Hematol Oncol. 2009 Jul-Aug;26(5):356-62. doi: 10.1080/08880010902973251.
2
A new case of human atransferrinemia with a previously undescribed mutation in the transferrin gene.一例新的人类无转铁蛋白血症病例,其转铁蛋白基因存在此前未描述的突变。
Acta Haematol. 2007;118(4):244-7. doi: 10.1159/000112726. Epub 2007 Dec 20.
3
[Congenital atransferrinemia].[先天性无转铁蛋白血症]
Schweiz Med Wochenschr. 1961 Oct 7;91:1203.
4
Case of congenital hypotransferrinemia suggests that tissue hypoxia during fetal development may cause hypospadias.先天性低转铁蛋白血症病例表明,胎儿发育期间的组织缺氧可能导致尿道下裂。
Am J Med Genet. 2000 Nov 27;95(3):287-90.
5
[Replacement therapy for a patient with congenital atransferrinemia--therapeutic effect of apotansferrin (author's transl)].先天性无转铁蛋白血症患者的替代疗法——去铁转铁蛋白的治疗效果(作者译)
Rinsho Ketsueki. 1981 Nov;22(11):1708-13.