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SMARCAL1基因突变致Schimke免疫-骨发育不良1例

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目的 本研究旨在探讨SMARCAL1基因突变导致的Schimke免疫-骨发育不良(SIOD)的临床特点及遗传学特征.方法 选取1例就诊于石河子大学第一附属医院儿科的Schimke免疫-骨发育不良(SIOD)患者,采集病史,并收集临床资料,行全外显子组测序,进行文献分析和总结.结果 患儿系11岁7个月女童,以"鼻出血2次"为主诉就诊,伴有双侧眼睑及下肢水肿、腹胀表现,多次就诊后诊断为骨骼发育不良、凝血功能异常、甲状腺功能减退、轻度贫血、腹腔积液、听力减退.全外显子组测序提示患儿在Schimke免疫-骨发育不良(SIOD)相关基因SMARCAL1存在一处纯合突变:c.2425G>A,最终确诊为Schimke免疫-骨发育不良.结论 SMARCAL1基因的c.2425G>A变异是该患儿的遗传学病因,该突变的发现进一步拓展了 Schimke免疫性骨发育不良的基因变异谱.
Schimke immune-osseous dysplasia caused by a mutation in the SMARCAL1 gene:A case report
Objective To investigate the clinical characteristics of Schimke immune-osseous dysplasia(SIOD)caused by SMARCAL1 gene mutation.Methods A retrospective analysis was conducted on the clinical data of one SIOD patient from the First Affiliated Hospital of Shihezi University for discussion.Results A girl aged 11 years and 7 months was admitted with the complaint of"epistaxis twice",accompanied by swelling of bilateral eyelids and lower limbs and abdominal distension.After multiple visits,she was diagnosed with skeletal dysplasia,abnormal coagulation function,hypothyroidism,mild anemia,ascites,and hearing loss.Whole exome sequencing revealed a homozygous mutation(c.2425G>A)in SMARCAL1 gene asso-ciated with Schimke immune-osseous dysplasia(SIOD).Conclusion The c.2425G>A of SMARCAL1 gene mutation was found.The mutation c.2425G>A is the genetic cause of the patient,and the discovery of this mutation further expands the gene muta-tion spectrum of Schimke immune-osseous dysplasia.

bone dysplasiaSMARCAL1Schimke immuno-osseous dysplasia

比力克孜·买买提、陈梦

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石河子大学第一附属医院儿科,新疆石河子 832008

骨发育不良 SMARCAL1 Schimke免疫-骨发育不良

2024

中国优生与遗传杂志
中国优生科学协会

中国优生与遗传杂志

CSTPCD
影响因子:0.527
ISSN:1006-9534
年,卷(期):2024.32(6)