首页|全外显子组基因测序辅助诊断原发性纤毛运动障碍

全外显子组基因测序辅助诊断原发性纤毛运动障碍

扫码查看
2021 年 12 月,复旦大学附属中山医院收治 1 例 29 岁男性患者.该患者反复咳嗽、咳痰、喘息,血清总IgE明显升高,烟曲霉特异性IgE阳性,肺功能检查提示极重度混合性通气功能障碍,结合胸部CT结果,考虑支气管扩张症、变应性支气管肺曲霉菌病.结合其低水平呼出气一氧化氮(fractional exhaled nitric oxide,FeNO)和鼻呼出气一氧化氮(nasal nitric oxide,nNO)、出生后咳嗽不愈、父母近亲结婚等,考虑原发性纤毛运动障碍(primary ciliary dyskinesia,PCD)等遗传性疾病可能.全外显子组测序(whole exome sequencing,WES)结果显示,患者CCDC40 基因 14 号外显子纯合突变,确诊PCD.
Application of whole exome sequencing in patients with primary ciliary dyskinesia
A 29-year-old man visited Zhongshan Hospital,Fudan University in December 2021.The patient presented with recurrent coughing,sputum,and wheezing,high level of serum total IgE,positive aspergillus fumigatus-specific IgE and extremely severe mixed ventilatory dysfunction.These features and thoracic CT results scan showed bronchiectasis and allergic bronchopulmonary aspergillosis.In consideration of his clinical characteristics,including low levels of fractional exhaled nitric oxide(FeNO),and nasal nitric oxide(nNO),persistent cough after birth,consanguineous marriage of his parents,etc.we ratiocinated a possibility of hereditary diseases,especially primary ciliary dyskinesia(PCD).From this perspective,whole exome sequencing(WES)was performed and the diagnosis of PCD was ultimately confirmed.

primary ciliary dyskinesiabronchiectasisallergic bronchopulmonary aspergillosiswhole exome sequencing

陈可、史婧、胡莉娟、张丽、曹旻璐、郭玮、金美玲

展开 >

复旦大学附属中山医院变态(过敏)反应科,上海 200032

复旦大学附属中山医院呼吸与危重症医学科,上海 200032

复旦大学附属中山医院检验科,上海 200032

原发性纤毛运动障碍 支气管扩张症 变应性支气管肺曲霉菌病 全外显子组测序

2024

中国临床医学
复旦大学附属中山医院

中国临床医学

CSTPCD
影响因子:1.002
ISSN:1008-6358
年,卷(期):2024.31(6)