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正常汗液氯化物试验不能排除囊性纤维化。

Normal sweat chloride test does not rule out cystic fibrosis.

作者信息

Başaran Abdurrahman Erdem, Karataş-Torun Nimet, Maslak İbrahim Cemal, Bingöl Ayşen, Alper Özgül M

机构信息

Division of Pediatric Pulmonology, Department of Pediatrics, Akdeniz University Faculty of Medicine, Antalya, Turkey.

Antalya Training and Research Hospital, Antalya, Turkey.

出版信息

Turk J Pediatr. 2017;59(1):68-70. doi: 10.24953/turkjped.2017.01.011.

Abstract

Başaran AE, Karataş-Torun N, Maslak İC, Bingöl A, Alper ÖM. Normal sweat chloride test does not rule out cystic fibrosis. Turk J Pediatr 2017; 59: 68-70. A 5-month-old patient presented with complaints of fever and cough. He was hospitalized with the diagnosis of bronchopneumonia and pseudo-Bartter's syndrome. Patient was further investigated for diagnosis of cystic fibrosis. The chloride (Cl) level in sweat was determined within the normal range (25.1 mmol/L, 20.3 mmol/L). CFTR (Cystic Fibrosis Transmembrane Regulator gene; NM_000492.2) genotyping results were positive for p.E92K; p.F1052V mutations. The patient was diagnosed with cystic fibrosis. In our patient, with features of CF and normal sweat test, mutation analysis was helpful for the diagnosis of cystic fibrosis.

摘要

巴萨兰·A·E、卡拉塔什-托伦·N、马斯拉克·I·C、宾戈尔·A、阿尔珀·Ö·M。正常汗液氯化物检测不能排除囊性纤维化。《土耳其儿科学杂志》2017年;59: 68 - 70。一名5个月大的患者出现发热和咳嗽症状。他因支气管肺炎和假性巴特综合征的诊断住院。对该患者进一步进行囊性纤维化诊断检查。汗液中氯化物(Cl)水平测定在正常范围内(25.1毫摩尔/升,20.3毫摩尔/升)。囊性纤维化跨膜传导调节因子(CFTR)基因(NM_000492.2)基因分型结果显示p.E92K;p.F1052V突变呈阳性。该患者被诊断为囊性纤维化。在我们的患者中,具有囊性纤维化特征且汗液检测正常,突变分析有助于囊性纤维化的诊断。

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