Zhang Meiyu, Gao Man, Liu Yuhuan, Wang Kun, Zhou Siyan, Jing Haoran, Yin Guo, Meng Fanzheng
Pediatric Department of Respiration The First Hospital of Jilin University Changchun City China.
Center for Pathogen Biology and Infectious Diseases The First Hospital of Jilin University Changchun City China.
Clin Case Rep. 2023 Aug 10;11(8):e7726. doi: 10.1002/ccr3.7726. eCollection 2023 Aug.
We reported a case of a 7-year-old boy with pulmonary alveolar microlithiasis (PAM) and detected two novel compound heterozygous mutations of solute carrier family 34 member 2 (SLC34A2), EXON:2-6 duplication and c.1218 (EXON:11) C > A (p. Phe406Leu). His symptoms were nonspecific. Chest computed tomography (CCT) showed bronchiectasis, a mosaic feature, and extensive calcifications in both lungs. In addition, bronchoscopy showed bronchitis obliterans which has rarely been reported as a complication in the literature. This case aimed to explore the mechanism of PAM and emphasize the role of gene analysis in diagnosing rare pediatric diseases. Finally, we undertook a review of the current literature containing SLC34A2 gene mutations to update the gene mutation spectrum of PAM.
我们报告了一例7岁患有肺泡微石症(PAM)的男孩病例,并检测到溶质载体家族34成员2(SLC34A2)的两个新的复合杂合突变,外显子2 - 6重复以及c.1218(外显子11)C>A(p.Phe406Leu)。他的症状不具有特异性。胸部计算机断层扫描(CCT)显示支气管扩张、马赛克征以及双肺广泛钙化。此外,支气管镜检查显示闭塞性支气管炎,这在文献中很少作为并发症被报道。该病例旨在探究PAM的发病机制,并强调基因分析在诊断罕见儿科疾病中的作用。最后,我们对当前包含SLC34A2基因突变的文献进行了综述,以更新PAM的基因突变谱。