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病例报告:一名罕见的纯合子患者,患有系统性淀粉样变性,心脏受累明显。

Case Report: A rare homozygous patient affected by systemic amyloidosis with a prominent heart involvement.

作者信息

Micaglio Emanuele, Santangelo Gloria, Moscardelli Silvia, Rusconi Daniela, Musca Francesco, Verde Alessandro, Campiglio Laura, Bursi Francesca, Guazzi Marco

机构信息

Arrhythmia and Electrophysiology Department, IRCCS Policlinico San Donato, Milan, Italy.

Division of Cardiology, Department of Health Sciences, San Paolo Hospital, University of Milan, Milan, Italy.

出版信息

Front Cardiovasc Med. 2023 Aug 29;10:1164916. doi: 10.3389/fcvm.2023.1164916. eCollection 2023.

Abstract

Hereditary transthyretin amyloidosis is a severe, adult-onset autosomal dominant inherited systemic disease predominantly affecting the peripheral and autonomic nervous system, heart, kidney, and the eyes. We present a case of a Caucasian 65-year-old man with cardiac amyloidosis and the homozygous mutation Val142Ile (classically, Val122Ile) in the transthyretin gene. We provide a genotype-phenotype correlation regarding the genetic status of both heterozygous and homozygous individuals and their clinical conditions at the time of genetic testing.

摘要

遗传性转甲状腺素蛋白淀粉样变性是一种严重的、成年起病的常染色体显性遗传性全身性疾病,主要影响外周和自主神经系统、心脏、肾脏及眼睛。我们报告了一例65岁的白种男性病例,该患者患有心脏淀粉样变性,且转甲状腺素蛋白基因存在纯合突变Val142Ile(经典型为Val122Ile)。我们提供了杂合子和纯合子个体的基因状态与其基因检测时临床状况的基因型-表型相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c7b/10497760/3622c7eb6e7b/fcvm-10-1164916-g001.jpg

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