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一例伴有纯合子SLC12A3缺失且表现为癫痫的吉特曼综合征病例。

A case of Gitelman syndrome with homozygous SLC12A3 deletion presenting with epilepsy.

作者信息

Wang Ying, Huang Wenting, Li Jia, Mao Shumin, Fang Wenqiang, Xu Huiqin

机构信息

Department of Neurology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

出版信息

Acta Epileptol. 2023 Nov 29;5(1):29. doi: 10.1186/s42494-023-00142-3.

DOI:10.1186/s42494-023-00142-3
PMID:40217495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11960248/
Abstract

BACKGROUND

Gitelman syndrome (GS) is a rare autosomal recessive hereditary renal tubular disorder characterized by hypokalemia, metabolic alkalosis, hypomagnesemia, and hypocalciuria.

CASE PRESENTATION

We report a rare case of GS with homozygous loss of SLC12A3 presenting with epilepsy. The patient was a 21-year-old female who sought medical attention for seizures. Her condition primarily manifested as epilepsy, diarrhea, and weakness of limbs. Through genetic analysis, we confirmed the diagnosis of this case and formulated a comprehensive approach for its management.

CONCLUSIONS

This case report extends the clinical symptoms of GS and provides a complete family of GS as a reference for subsequent studies.

摘要

背景

吉特林综合征(GS)是一种罕见的常染色体隐性遗传性肾小管疾病,其特征为低钾血症、代谢性碱中毒、低镁血症和低钙尿症。

病例报告

我们报告了一例罕见的GS病例,该病例存在SLC12A3纯合缺失并伴有癫痫发作。患者为一名21岁女性,因癫痫发作就医。她的病情主要表现为癫痫、腹泻和肢体无力。通过基因分析,我们确诊了该病例并制定了综合治疗方案。

结论

本病例报告扩展了GS的临床症状,并提供了一个完整的GS家系,为后续研究提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33b3/11960248/c73bcbfa9825/42494_2023_142_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33b3/11960248/74b830658a6f/42494_2023_142_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33b3/11960248/33e529631a27/42494_2023_142_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33b3/11960248/795a56d44c6a/42494_2023_142_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33b3/11960248/c73bcbfa9825/42494_2023_142_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33b3/11960248/74b830658a6f/42494_2023_142_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33b3/11960248/33e529631a27/42494_2023_142_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33b3/11960248/795a56d44c6a/42494_2023_142_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33b3/11960248/c73bcbfa9825/42494_2023_142_Fig4_HTML.jpg

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Cardiology. 2022;147(2):191-195. doi: 10.1159/000515985. Epub 2022 Jan 25.
2
Genetic Analysis of SLC12A3 Gene in Chinese Patients with Gitelman Syndrome.SLC12A3 基因在中国 Gitelman 综合征患者中的遗传分析。
Med Sci Monit. 2019 Aug 9;25:5942-5952. doi: 10.12659/MSM.916069.
3
Gitelman Syndrome: A Rare Cause of Seizure Disorder and a Systematic Review.吉特林综合征:癫痫发作障碍的罕见病因及系统评价
Case Rep Med. 2019 Feb 5;2019:4204907. doi: 10.1155/2019/4204907. eCollection 2019.
4
Increased urinary prostaglandin E2 metabolite: A potential therapeutic target of Gitelman syndrome.尿中前列腺素E2代谢产物增加:吉特曼综合征的一个潜在治疗靶点。
PLoS One. 2017 Jul 10;12(7):e0180811. doi: 10.1371/journal.pone.0180811. eCollection 2017.
5
Gitelman syndrome: consensus and guidance from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference.Gitelman 综合征:改善全球肾脏病预后组织(KDIGO)争议会议的共识和指导意见。
Kidney Int. 2017 Jan;91(1):24-33. doi: 10.1016/j.kint.2016.09.046.
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Genotype/Phenotype Analysis in 67 Chinese Patients with Gitelman's Syndrome.67例中国吉特曼综合征患者的基因型/表型分析
Am J Nephrol. 2016;44(2):159-68. doi: 10.1159/000448694. Epub 2016 Aug 17.
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