现代医药卫生2024,Vol.40Issue(6) :941-943,948.DOI:10.3969/j.issn.1009-5519.2024.06.008

高鸟氨酸血症-高氨血症-高同型瓜氨酸尿症综合征1例报告并文献复习

Hyperornithinemia-hyperammonia-hyperisocitrullinuria syndrome:A case report and literature review

焦玉帅 刘文晶 袁兆红
现代医药卫生2024,Vol.40Issue(6) :941-943,948.DOI:10.3969/j.issn.1009-5519.2024.06.008

高鸟氨酸血症-高氨血症-高同型瓜氨酸尿症综合征1例报告并文献复习

Hyperornithinemia-hyperammonia-hyperisocitrullinuria syndrome:A case report and literature review

焦玉帅 1刘文晶 2袁兆红2
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作者信息

  • 1. 济宁医学院临床医学院,山东 济宁 272067
  • 2. 济宁医学院附属医院儿童康复科,山东 济宁 272029
  • 折叠

摘要

高鸟氨酸血症-高氨血症-高瓜氨酸尿症综合征(HHH综合征)是一种罕见的常染色体隐性遗传的尿素循环障碍性疾病.该院收治了1例HHH综合征患儿,平素挑食严重,厌食高蛋白食物,运动倒退,多次实验室检查示转氨酶、血氨升高及凝血功能异常,全外显子基因检测显示患儿携带SLC25A15基因c.521C>G(p.S174x)纯合变异,患儿父母均携带该基因杂合变异,患儿经肝移植后好转.对于该类患儿建议早期进行血尿遗传代谢及基因检测以挽救患儿生命及提高其生活质量.

Abstract

Hyperornithinemia-hyperammonia-hypercitrullinuria syndrome(HHH syndrome)is a rare autosomal recessive urea cycle disorder.A patient with HHH syndrome was admitted to the hospital with se-vere picky eating,anorexia of high-protein foods and exercise regression.Multiple laboratory tests showed high transaminase,elevated blood ammonia and abnormal coagulation function.The whole exon gene test showed that the child carried a homozygous mutation of SLC25A15 gene c.521C>G(p.S174x).Both parents carried the heterozygous mutation of the gene,and the child improved after liver transplantation.For these patients,early he-maturia genetic metabolism and gene detection are recommended to save lives and improve quality of life.

关键词

高鸟氨酸血症-高氨血症-高同型瓜氨酸尿症/尿素循环障碍/SLC25A15基因/病例报告

Key words

Hyperornithinemia-hyperammonia-hyperisocitrullinuria/Disturbance of urea cycle/SLC25A15 gene/Case report

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出版年

2024
现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
参考文献量18
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