中国实用儿科杂志2024,Vol.39Issue(11) :830-836.DOI:10.19538/j.ek2024110606

Alstr?m综合征诊治及研究进展

Progress in the diagnosis and treatment of Alstr?m's syndrome and the research

汪莉波 张倩文 王秀敏
中国实用儿科杂志2024,Vol.39Issue(11) :830-836.DOI:10.19538/j.ek2024110606

Alstr?m综合征诊治及研究进展

Progress in the diagnosis and treatment of Alstr?m's syndrome and the research

汪莉波 1张倩文 1王秀敏1
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作者信息

  • 1. 上海交通大学医学院附属上海儿童医学中心 上海 市罕见病临床研究中心内分泌代谢科,上海 200127;上海交通大学医学院附属上海儿童医学中心 上海市罕见病临床研究中心医学遗传科,上海 200127
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摘要

Alström 综合征(Alström syndrome,ALMS)是一种由ALMS1基因变异引起的罕见常染色体隐性遗传病,具有复杂的多系统临床表现.最显著的特征包括儿童肥胖、2型糖尿病、视网膜病变,症状多在婴儿期开始出现,并随年龄逐渐进展.由于ALMS临床表现复杂、预后差且具有年龄依赖性,误诊与漏诊现象普遍存在.该文将探讨ALMS的诊断与治疗及研究进展,强调早期识别和干预的重要性,以期改善患儿的多器官功能障碍,延长寿命并提升生活质量.

Abstract

Alström syndrome(ALMS)is a rare autosomal recessive disorder caused by a variant in the ALMS1 gene with a complex multisystemic clinical manifestations.The most notable features include childhood obesity,type 2 diabetes mellitus,and retinopathy,with symptoms mostly beginning in infancy and progressively expanding with age.Misdiagnosis and missed diagnosis of ALMS are common due to its complex clinical manifestations,poor prognosis,and age-dependence.In this article,we will discuss the diagnosis and treatment of ALMS and the progress of research,emphasizing the importance of early recognition and intervention,with a view to improve patients'multi-organ dysfunction,prolong life expectancy and improve quality of life.

关键词

Alström综合征/ALMS1基因/机制/临床表现

Key words

Alström syndrome/ALMS1 gene/mechanism/clinical manifestations

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出版年

2024
中国实用儿科杂志
中国医师协会,中国实用医学杂志社

中国实用儿科杂志

CSTPCD北大核心
影响因子:1.314
ISSN:1005-2224
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