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伴生长迟缓的家族性白蛋白异常性高甲状腺素血症1例

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回顾性分析河北省儿童医院2021年8月收治的1例家族性白蛋白异常性高甲状腺素血症(FDH)的临床资料。患儿,女,4岁2个月,以生长迟缓为首诊。对患儿及其直系亲属进行基因测序发现在白蛋白基因第7号外显子上发生c。725G>A(p。R242H)杂合突变,确诊为FDH,并对该女童进行生长发育水平随访监测。FDH的早期识别和诊断可以防止被误诊或错误服用抗甲状腺药物而影响儿童的生长发育,且对生长速度缓慢的FDH患儿给予生长激素治疗有效。
A case of familial dysalbuminemic hyperthyroxinemia with growth retardation
A retrospective analysis was made on clinical data of a case of familial dysalbuminemic hyperthyroxinemia(FDH)treated at Hebei Children's Hospital in August 2021.The patient,female,4 years and 2 months old,was diagnosed with growth retardation.Genetic sequencing of the child and her immediate family revealed a heterozygous mutation,c.725G>A(p.R242H)in exon 7 of the albumin gene,which confirmed the diagnosis of FDH.The growth and development of the girl were monitored regularly.Early identification and diagnosis of FDH can prevent misdiagnosis or improper antithyroid medication from affecting children's growth and development,and growth hormone therapy is effective for children with FDH who are slow growing.

ThyroxineGrowth retardationFamilial dysalbuminemic hyperthyroxinemiaAlbumin gene

常海霞、刘智慧、吕金仿、李芹、王霞

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河北省儿童医院儿童保健科,石家庄 050031

甲状腺素 生长迟缓 家族性白蛋白异常性高甲状腺素血症 白蛋白基因

河北省卫生和计划生育委员会重点科技研究计划

20220776

2024

中华实用儿科临床杂志
中华医学会

中华实用儿科临床杂志

CSTPCD北大核心
影响因子:1.5
ISSN:2095-428X
年,卷(期):2024.39(10)