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[遗传性出血性毛细血管扩张症一家系的临床基因分析与诊断]

[Clinical genetic analysis and diagnosis of a family with hereditary hemorrhagic telangiectasia].

作者信息

Song X Y, Yang Y J, Yao Y, Zhang Y, Song X C

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, Yuhuangding Hospital of Qingdao University, Yantai 264000, Shandong Province, China.

Taishan Scholar Laboratory, Yuhuangding Hospital of Qingdao University, Yantai 264000, Shandong Province, China.

出版信息

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Dec 7;56(12):1307-1312. doi: 10.3760/cma.j.cn115330-20210323-00143.

Abstract

To explore the diagnostic significance of the combination of clinical and genetic detection of hereditary hemorrhagic telangiectasia (HHT) by analyzing the clinical and genetic diagnosis of a family with HHT. Medical history data of the probands and their family members were collected, and the sequence analyses of coding regions of and genes were performed by PCR-sequencing method, and a comprehensive diagnosis was made based on the clinical features and gene detection results. After the pathogenic gene variation was identified, 11 members of 3 generations of the family were tested for pathogenic gene mutation. There was an c.715_716delAG mutation in the proband and 9 other family members, which caused p.S239C. Based on the clinical and genetic findings, the 7 suspected were diagnosed and 2 asymptomatic patients were found to carry the mutation site. The combination of clinical features and gene detection can determine the etiology and classification of HHT, which is convenient for the early diagnosis and prevention of the disease.

摘要

通过分析1例遗传性出血性毛细血管扩张症(HHT)家系的临床及基因诊断情况,探讨临床与基因检测相结合对HHT的诊断意义。收集先证者及其家庭成员的病史资料,采用PCR测序法对相关基因编码区进行序列分析,并结合临床特征及基因检测结果进行综合诊断。在明确致病基因变异后,对该家系3代11名成员进行致病基因突变检测。先证者及其他9名家族成员存在相关基因c.715_716delAG突变,导致p.S239C。根据临床及基因检测结果,确诊7例疑似患者,并发现2例无症状患者携带突变位点。临床特征与基因检测相结合可明确HHT病因及分型,便于疾病早期诊断与预防。

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