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与胃食管反流病相关的X连锁低汗性外胚层发育不良

X-linked hypohidrotic ectodermal dysplasia associated with gastroesophageal reflux disease.

作者信息

Hanawa Yamato, Murasaki Wataru, Ando Tatsuya, Baba Yuji, Namba Hiroyuki

机构信息

Department of Pediatrics, Jikei University Kashiwa Hospital, Chiba, Japan.

Department of Pediatrics, The Jikei University School of Medicine, Tokyo, Japan.

出版信息

Mol Genet Metab Rep. 2025 May 9;43:101228. doi: 10.1016/j.ymgmr.2025.101228. eCollection 2025 Jun.

DOI:10.1016/j.ymgmr.2025.101228
PMID:40469581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12136819/
Abstract

X-linked hypohidrotic ectodermal dysplasia (XLHED) is a rare genetic congenital disorder characterized by allelic heterogeneity, affecting the ectodermal structures. We present the case of a 4-month-old boy diagnosed with XLHED, suffering from recurrent aspiration pneumonia due to gastroesophageal reflux disease (GERD) since he was 1-month-old. This case highlights that GERD, when severe enough to cause aspiration pneumonia, may be associated with underlying ectodermal dysplasia, such as XLHED. In such cases, tube feeding may reduce the risk of pneumonia in infants with XLHED.

摘要

X连锁低汗性外胚层发育不良(XLHED)是一种罕见的遗传性先天性疾病,其特征为等位基因异质性,会影响外胚层结构。我们报告了一例4个月大的男孩,被诊断为XLHED,自1个月大以来因胃食管反流病(GERD)反复发生吸入性肺炎。该病例突出表明,当GERD严重到足以引起吸入性肺炎时,可能与潜在的外胚层发育不良有关,如XLHED。在这种情况下,管饲可能会降低XLHED婴儿患肺炎的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/12136819/9d4bcbcc599f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/12136819/2252dd22ef00/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/12136819/9d4bcbcc599f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/12136819/2252dd22ef00/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c223/12136819/9d4bcbcc599f/gr2.jpg

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本文引用的文献

1
Medical management of gastro-esophageal reflux in healthy infants.健康婴儿胃食管反流的医学管理
Paediatr Child Health. 2022 Dec 27;27(8):503-511. doi: 10.1093/pch/pxac068. eCollection 2022 Dec.
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Lack of airway submucosal glands impairs respiratory host defenses.呼吸道黏膜下腺体缺失会损害呼吸道宿主防御功能。
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Ectodermal dysplasia: Report of two cases in a family and literature review.外胚层发育不良:一家族两例报告及文献复习
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Gastroesophageal reflux in infants: more than just a pHenomenon.婴儿胃食管反流:不仅仅是 pH 现象。
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Diagnosis and treatment in anhidrotic ectodermal dysplasia with immunodeficiency.无汗性外胚层发育不良伴免疫缺陷的诊断与治疗。
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Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN).小儿胃食管反流临床实践指南:北美小儿胃肠病学、肝病学和营养学学会(NASPGHAN)和欧洲小儿胃肠病学、肝病学和营养学学会(ESPGHAN)的联合建议。
J Pediatr Gastroenterol Nutr. 2009 Oct;49(4):498-547. doi: 10.1097/MPG.0b013e3181b7f563.
10
Frequent respiratory tract infections in the canine model of X-linked ectodermal dysplasia are not caused by an immune deficiency.在X连锁外胚层发育不良的犬类模型中,频繁的呼吸道感染并非由免疫缺陷引起。
Vet Immunol Immunopathol. 2005 Aug 15;107(1-2):95-104. doi: 10.1016/j.vetimm.2005.04.005.