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在一名儿科患者中发现新型脂多糖反应性囊泡运输、含Beach和锚定蛋白(LRBA)基因突变:病例报告

Novel Lipopolysaccharide-Responsive Vesicle Trafficking, Beach- and Anchor-Containing (LRBA) Gene Mutation Identified in a Pediatric Patient: A Case Report.

作者信息

Dua Jasleen, Jadhav Renuka, Pande Vineeta, Bahal Mridu, Mane Shailaja V

机构信息

Pediatrics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, IND.

出版信息

Cureus. 2024 Jul 26;16(7):e65434. doi: 10.7759/cureus.65434. eCollection 2024 Jul.

DOI:10.7759/cureus.65434
PMID:39184709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11344606/
Abstract

Homozygous mutations in the lipopolysaccharide-responsive vesicle trafficking, beach- and anchor-containing () gene lead to a syndrome characterized by early-onset hypogammaglobulinemia, autoimmunity, lymphoproliferation, and inflammatory bowel disease. This report describes a 10-year-old female who experienced three seizure episodes, including two generalized tonic-clonic seizures (GTCS) and one focal seizure, alongside septic shock. The patient had a history of recurrent respiratory tract infections, inflammatory bowel disease, multiple blood transfusions, lymphadenopathy, significant organomegaly, and hematological abnormalities, all consistent with an deficiency. This case highlights the critical need for prompt recognition and identification of gene mutations to enable timely management and improve patient outcomes.

摘要

脂多糖反应性囊泡运输、含海滩和锚定蛋白()基因的纯合突变导致一种综合征,其特征为早发性低丙种球蛋白血症、自身免疫、淋巴细胞增殖和炎症性肠病。本报告描述了一名10岁女性,她经历了三次癫痫发作,包括两次全身强直阵挛发作(GTCS)和一次局灶性发作,同时伴有感染性休克。该患者有反复呼吸道感染、炎症性肠病、多次输血、淋巴结病、明显器官肿大和血液学异常的病史,所有这些都与缺陷一致。本病例强调了及时识别和鉴定基因突变为实现及时管理和改善患者预后的迫切需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b975/11344606/71300a578760/cureus-0016-00000065434-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b975/11344606/71300a578760/cureus-0016-00000065434-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b975/11344606/71300a578760/cureus-0016-00000065434-i01.jpg

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本文引用的文献

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BMC Pediatr. 2023 Jul 13;23(1):353. doi: 10.1186/s12887-023-04182-z.
2
Lipopolysaccharide Responsive Beige-like Anchor Protein Deficiency in a Patient with Autoimmune Lymphoproliferative Syndrome-like Disease Phenotype: A Case Report and Literature Review.脂多糖反应性米色样锚蛋白缺陷症 1 例并文献复习:自身免疫性淋巴增生综合征样疾病表型
Iran J Allergy Asthma Immunol. 2022 Apr 11;21(2):219-227. doi: 10.18502/ijaai.v21i2.9230.
3
Primary immune regulatory disorders: Undiagnosed needles in the haystack?
原发性免疫调节紊乱:未确诊的“大海捞针”?
Orphanet J Rare Dis. 2022 Mar 3;17(1):99. doi: 10.1186/s13023-022-02249-1.
4
Immune checkpoint deficiencies and autoimmune lymphoproliferative syndromes.免疫检查点缺陷与自身免疫性淋巴增生综合征。
Biomed J. 2021 Aug;44(4):400-411. doi: 10.1016/j.bj.2021.04.005. Epub 2021 Apr 19.
5
Regulation of CTLA-4 recycling by LRBA and Rab11.LRBA 和 Rab11 调控 CTLA-4 的循环再利用。
Immunology. 2021 Sep;164(1):106-119. doi: 10.1111/imm.13343. Epub 2021 Jun 6.
6
Long-term outcome of LRBA deficiency in 76 patients after various treatment modalities as evaluated by the immune deficiency and dysregulation activity (IDDA) score.LRBA 缺陷患者经不同治疗方式后,通过免疫缺陷和失调活动(IDDA)评分评估的长期结果。
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