欢迎来到《四川大学学报(医学版)》
周瑜, 陈琼, 黄希, 等. 芬兰型先天性肾病综合征1例报道[J]. 四川大学学报(医学版), 2020, 51(6): 881-884. DOI: 10.12182/20200760109
引用本文: 周瑜, 陈琼, 黄希, 等. 芬兰型先天性肾病综合征1例报道[J]. 四川大学学报(医学版), 2020, 51(6): 881-884. DOI: 10.12182/20200760109
ZHOU Yu, CHEN Qiong, HUANG Xi, et al. A Case of Congenital Nephrotic Syndrome of the Finnish Type[J]. Journal of Sichuan University (Medical Sciences), 2020, 51(6): 881-884. DOI: 10.12182/20200760109
Citation: ZHOU Yu, CHEN Qiong, HUANG Xi, et al. A Case of Congenital Nephrotic Syndrome of the Finnish Type[J]. Journal of Sichuan University (Medical Sciences), 2020, 51(6): 881-884. DOI: 10.12182/20200760109

芬兰型先天性肾病综合征1例报道

A Case of Congenital Nephrotic Syndrome of the Finnish Type

  • 摘要: 男性患儿,出生5+ d,因“发现尿蛋白明显升高5+ d”入院。患儿系36+4周早产儿,产时伴羊水Ⅲ°胎粪污染、胎盘增大,生后即发现蛋白尿、低蛋白血症、进行性加重的水肿;全外显子基因检测提示患儿存在NPHS1的2个杂合突变位点,c.3325C>T(p.Arg1109*)和c.2479C>T(p.Arg827*)复杂杂合突变,诊断为芬兰型先天性肾病综合征(congenital nephrotic syndrome of the Finnish type, CNF),其中c.2479C>T(p.Arg827*)基因突变位点国内未见报道。本次报道的c.2479C>T突变基因对国内CNF基因突变谱进行了扩充,原因不明的先天性肾病综合征(congenital nephrotic syndrome, CNS)建议早期行基因检测,CNS的早期诊断对预后评估、遗传咨询及临床管理具有重要意义。

     

    Abstract: A 5+-day-old male patient was hospitalized due to a significant increase of urine protein for 5+ d. A 36+4 weeks preterm male infant was found with III° polluted amniotic fluid and excessive placenta, presented with proteinuria, hypoproteinemia, and progressive edema after birth. Two heterozygous mutations of NPHS1 gene, c.3325C>T (p.Arg1109*) and c.2479C>T (p.Arg827*), were found through the whole exon gene detection. The latter has not been reported domestically and the diagnosis of congenitalnephrotic syndrome of the Finnish type (CNF) is definite. The report of c.2479C>T mutation gene will expand the mutation spectrum of CNF gene data in China. Early genetic testing is recommended for cryptogenic congenital nephrotic syndrome (CNS) and early genetic diagnosis of CNF is important for prognostic evaluation, genetic counseling and clinical management.

     

© 2020 《四川大学学报(医学版)》编辑部 版权所有 cc

开放获取 本文遵循知识共享署名—非商业性使用4.0国际许可协议(CC BY-NC 4.0),允许第三方对本刊发表的论文自由共享(即在任何媒介以任何形式复制、发行原文)、演绎(即修改、转换或以原文为基础进行创作),必须给出适当的署名,提供指向本文许可协议的链接,同时标明是否对原文作了修改;不得将本文用于商业目的。CC BY-NC 4.0许可协议详情请访问 https://creativecommons.org/licenses/by-nc/4.0

/

返回文章
返回