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PYCR2基因变异与儿童低髓鞘性脑白质营养不良:一项病例报告研究

Mutation in PYCR2 gene and hypomyelinating leukodystrophy in children: a case report study.

作者信息

Hosseini Seyed Ahmad, Ghelichi-Ghojogh Mousa

机构信息

Department of Pediatrics, Neonatal and Children's Health Research Center Research Center, Golestan University of Medical Science, Gorgan, Iran.

Assistant Professor of Epidemiology, Neonatal and Children's Health Research Center Research Center, Golestan University of Medical Science, Gorgan, Iran.

出版信息

Ann Med Surg (Lond). 2023 Apr 15;85(5):2177-2179. doi: 10.1097/MS9.0000000000000684. eCollection 2023 May.

Abstract

UNLABELLED

Hypomyelinating leukodystrophies are a heterogeneous group of inherited white matter disorders characterized by a predominant absence of myelin deposits in the central nervous system.

CASE PRESENTATION

The patient was a one-year-old girl child. She at the age of 6 months was hospitalized due to loose, muscle weakness, and an upward gaze for 7-8 min with complaints of fever and convulsions.

CLINICAL DISCUSSION

Using the test of whole exome sequencing, a nonsense homozygous mutation was found in the PYCR2 gene, which a mutation in the PYCR2 gene causes hypomyelinating leukodystrophy type 10 disease.

CONCLUSION

Advances in the field of genetics, increased awareness, and the increasing availability of genetic testing in small cities in developing countries are helping to better assess complex neurological disorders and establish a complete diagnosis.

摘要

未标注

低髓鞘性脑白质营养不良是一组异质性遗传性白质疾病,其特征是中枢神经系统中主要缺乏髓磷脂沉积。

病例介绍

患者为一名1岁女童。她在6个月大时因腹泻、肌肉无力、向上凝视7 - 8分钟并伴有发热和惊厥症状而住院。

临床讨论

通过全外显子组测序检测,在PYCR2基因中发现了一个纯合无义突变,该基因的突变会导致10型低髓鞘性脑白质营养不良症。

结论

遗传学领域的进展、意识的提高以及发展中国家小城市中基因检测的可及性增加,有助于更好地评估复杂的神经系统疾病并建立完整的诊断。

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Ann Clin Transl Neurol. 2020 Jan;7(1):83-93. doi: 10.1002/acn3.50960. Epub 2019 Dec 8.
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Diagnosis, prognosis, and treatment of leukodystrophies.脑白质营养不良的诊断、预后和治疗。
Lancet Neurol. 2019 Oct;18(10):962-972. doi: 10.1016/S1474-4422(19)30143-7. Epub 2019 Jul 12.
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Leukodystrophies and genetic leukoencephalopathies in children.儿童脑白质营养不良和遗传性脑白质病。
Rev Neurol (Paris). 2020 Jan-Feb;176(1-2):10-19. doi: 10.1016/j.neurol.2019.04.003. Epub 2019 Jun 4.

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