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一名60岁女性患者脱水遗传性口形红细胞增多症的诊断

Diagnosis of Dehydrated Hereditary Stomatocytosis in a 60-Year-Old Female Patient.

作者信息

Han Kevin, Thomas Kafi, Khoury Leen, Brown Jordonna

机构信息

Internal Medicine, State University of New York Downstate Health Sciences University, Brooklyn, USA.

Hematology and Oncology, State University of New York Downstate Health Sciences University, Brooklyn, USA.

出版信息

Cureus. 2025 Aug 11;17(8):e89808. doi: 10.7759/cureus.89808. eCollection 2025 Aug.

DOI:10.7759/cureus.89808
PMID:40937223
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12422162/
Abstract

Dehydrated hereditary stomatocytosis (DHS), also known as hereditary xerocytosis, is a rare autosomal dominant hemolytic anemia characterized by mild to moderate, rarely severe, hemolysis as a result of decreased red blood cell (RBC) osmotic fragility leading to RBC dehydration. Patients with DHS are usually diagnosed at birth, during childhood, or in early adulthood. We herein present a case of DHS diagnosed in a 60-year-old female patient with no previously known history of a blood disorder; numerous stomatocytes were seen on peripheral smear, with next-generation sequencing (NGS) revealing a heterozygous PIEZO1 gene mutation.

摘要

脱水遗传性口形红细胞增多症(DHS),也称为遗传性干瘪红细胞增多症,是一种罕见的常染色体显性遗传性溶血性贫血,其特征为轻至中度溶血,极少为重度溶血,这是由于红细胞(RBC)渗透脆性降低导致红细胞脱水所致。DHS患者通常在出生时、儿童期或成年早期被诊断出来。我们在此报告一例在一名60岁女性患者中诊断出的DHS病例,该患者既往无血液系统疾病史;外周血涂片可见大量口形红细胞,二代测序(NGS)显示PIEZO1基因杂合突变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7517/12422162/b55ec131d5a8/cureus-0017-00000089808-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7517/12422162/393328b015ae/cureus-0017-00000089808-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7517/12422162/b55ec131d5a8/cureus-0017-00000089808-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7517/12422162/393328b015ae/cureus-0017-00000089808-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7517/12422162/b55ec131d5a8/cureus-0017-00000089808-i02.jpg

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本文引用的文献

1
Targeted Next Generation Sequencing (NGS) to Diagnose Hereditary Hemolytic Anemias.靶向新一代测序(NGS)用于诊断遗传性溶血性贫血
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A novel PIEZO1 mutation in a patient with dehydrated hereditary stomatocytosis: a case report and a brief review of literature.一例遗传性口炎性腹泻患者中新型 PIEZO1 突变:病例报告及文献复习
Ital J Pediatr. 2020 Jul 23;46(1):102. doi: 10.1186/s13052-020-00864-x.
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Clinical and biological features in -hereditary xerocytosis and Gardos channelopathy: a retrospective series of 126 patients.
遗传性非球形细胞溶血性贫血和 Gardos 通道病的临床和生物学特征:回顾性系列 126 例患者。
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Revised prevalence estimate of possible Hereditary Xerocytosis as derived from a large U.S. Laboratory database.根据美国一个大型实验室数据库得出的可能的遗传性口形红细胞增多症的患病率修订估计值。
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Dehydrated hereditary stomatocytosis linked to gain-of-function mutations in mechanically activated PIEZO1 ion channels.与机械激活的 PIEZO1 离子通道功能获得性突变相关的脱水遗传性口炎性腹泻。
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Mutations in the mechanotransduction protein PIEZO1 are associated with hereditary xerocytosis.机械转导蛋白 PIEZO1 的突变与遗传性血红细胞增多症有关。
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