Karasawa Y, Kobayashi M, Nakano Y, Aoki Y, Kawa S, Kiyosawa K, Seki H, Kawasaki S, Furihata K, Itoh N
2nd Department of Internal Medicine, Shinshu University, School of Medicine, Matsumoto, Japan.
Am J Gastroenterol. 1998 Sep;93(9):1550-3. doi: 10.1111/j.1572-0241.1998.00480.x.
We report a case of 23-yr-old man with glycogen storage disease (GSD) type Ia complicated by multiple hepatic adenomas. Analysis of the G-6-Pase gene using peripheral blood sample showed this patient to be homozygous for a G-to-T transversion at nucleotide 727 in exon 5. This mutation is prevalent among Japanese patients, suggesting that specific genotypes may correlate with different clinical courses or outcomes.
我们报告一例23岁男性糖原贮积病(GSD)Ia型并发多发性肝腺瘤的病例。利用外周血样本对葡萄糖-6-磷酸酶(G-6-Pase)基因进行分析,结果显示该患者第5外显子727位核苷酸处发生G到T的颠换,呈纯合子状态。这种突变在日本患者中很常见,提示特定基因型可能与不同的临床病程或结局相关。