Turgut E, Taner Z, Bayram M, Karçaaltincaba D
Gazi University Medical Faculty, Division of Perinatology, Department of Obstetrics and Gynecology, Ankara, Turkey.
Acta Endocrinol (Buchar). 2023 Jan-Mar;19(1):108-111. doi: 10.4183/aeb.2023.108. Epub 2023 Aug 14.
Niemann-Pick disease (NPD), is a rare autosomal recessive lysosomal storage disorder. Niemann-Pick A and B are caused by homozygous or compound heterozygous mutations in the sphingomyelin phosphodiesterase-1 (SMPD1) gene on chromosome 11p15. Type B is panethnic, although its frequency is increased in Turkish, Arabic and North African populations. Clinical features vary significantly among patients. It is a rare condition and information about its management an outcome during pregnancy and labor is limited. Both maternal mortality and morbidity due to severe postpartum hemorrhage has been reported. We represent a case of successful pregnancy outcome in patient with NPD type B. Type of mutations in SMPD 1 gene and severity of disease before pregnancy can predict the prognosis of pregnancy.
尼曼-匹克病(NPD)是一种罕见的常染色体隐性溶酶体贮积症。尼曼-匹克A型和B型由位于11号染色体p15区域的鞘磷脂磷酸二酯酶-1(SMPD1)基因的纯合或复合杂合突变引起。B型在各民族中均有发生,不过在土耳其、阿拉伯和北非人群中的发病率有所增加。患者的临床特征差异很大。这是一种罕见病症,关于其在妊娠和分娩期间的管理及结局的信息有限。曾有报道称,严重产后出血会导致孕产妇死亡和发病。我们报告了一例B型尼曼-匹克病患者成功妊娠的病例。SMPD1基因的突变类型以及妊娠前疾病的严重程度可预测妊娠预后。