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以原发性夜间遗尿为表现的埃勒斯-当洛综合征

Ehlers-Danlos syndrome presenting with primary nocturnal enuresis.

作者信息

Cunha Margarida, Matias Mafalda, Marques Inês

机构信息

Paediatrics, Centro Hospitalar Barreiro Montijo EPE, Barreiro, Portugal

Paediatrics, Centro Hospitalar Barreiro Montijo EPE, Barreiro, Portugal.

出版信息

BMJ Case Rep. 2020 Feb 4;13(2):e231977. doi: 10.1136/bcr-2019-231977.

DOI:10.1136/bcr-2019-231977
PMID:32024714
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7021119/
Abstract

Ehlers-Danlos syndrome (EDS), hypermobility type, is probably the most common EDS type, as well as the most common heritable connective tissue disorder. Bladder dysfunction is a rare clinical manifestation of EDS and manifests itself as primary nocturnal enuresis. We present a 10-year-old boy referred to the paediatrics nephrology consultation due to primary nocturnal enuresis and day time symptoms of urinary urgency. During the appointment, a tendency to joint hypermobility was noted. On evaluation the skin was hyperextensible and the Beighton score was positive. The genetic testing revealed a variant of the gene not yet described in the literature.

摘要

埃勒斯-当洛综合征(EDS),活动过度型,可能是最常见的EDS类型,也是最常见的遗传性结缔组织疾病。膀胱功能障碍是EDS罕见的临床表现,表现为原发性夜间遗尿。我们报告一名10岁男孩,因原发性夜间遗尿和白天尿急症状转诊至儿科肾脏病咨询门诊。就诊期间,发现其有关节活动过度倾向。评估时发现皮肤过度伸展,Beighton评分呈阳性。基因检测发现了一个文献中尚未描述的基因变异。

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Ehlers-Danlos syndrome presenting with primary nocturnal enuresis.以原发性夜间遗尿为表现的埃勒斯-当洛综合征
BMJ Case Rep. 2020 Feb 4;13(2):e231977. doi: 10.1136/bcr-2019-231977.
2
Classic Ehlers-Dalnos syndrome presenting as atypical chronic haematoma: a case report with novel frameshift mutation in COL5A1.表现为非典型慢性血肿的经典埃勒斯-当洛综合征:一例伴有COL5A1基因新移码突变的病例报告
BMC Pediatr. 2020 Oct 27;20(1):495. doi: 10.1186/s12887-020-02386-1.
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Genet Med. 2010 Oct;12(10):597-605. doi: 10.1097/GIM.0b013e3181eed412.
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本文引用的文献

1
Contemporary approach to joint hypermobility and related disorders.当代关节过度活动症及相关疾病的诊治方法
Curr Opin Pediatr. 2017 Dec;29(6):640-649. doi: 10.1097/MOP.0000000000000541.
2
Generalized joint hypermobility and voiding dysfunction in children: is there any relationship?儿童广泛性关节活动过度与排尿功能障碍:二者是否存在关联?
Eur J Pediatr. 2014 Feb;173(2):197-201. doi: 10.1007/s00431-013-2120-6.
3
Ehlers-danlos syndrome, hypermobility type: an underdiagnosed hereditary connective tissue disorder with mucocutaneous, articular, and systemic manifestations.埃勒斯-当洛综合征,活动过度型:一种诊断不足的遗传性结缔组织疾病,具有黏膜皮肤、关节和全身表现。
ISRN Dermatol. 2012;2012:751768. doi: 10.5402/2012/751768. Epub 2012 Nov 22.
4
Lower urinary tract dysfunction in children with generalized hypermobility of joints.关节广泛性活动过度儿童的下尿路功能障碍
J Urol. 2003 Nov;170(5):1971-4. doi: 10.1097/01.ju.0000091643.35118.d3.