[Clinical characteristics of urinary system symptoms in 11 patients with neuronal intranuclear inclusion disease].

Z H Yuan, G F Sun, W T Hu, L H Wang, Q Li, L Yan, B P Qiao
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Abstract

To summarize the characteristics of urinary system symptoms in 11 patients with neuronal intranuclear inclusion disease (NIID), in order to improve the understanding of the disease. A retrospective analysis was performed on 15 patients with NIID of the First Affiliated Hospital of Zhengzhou University, which were enrolled between January, 2020 and December, 2022. All of them were confirmed by NOTCH2NLC gene and pathology. GGC repeated expansion mutationof NOTCH2NLC gene, the pathogenic gene of NIID, was detected by gene test, and eosinophilic intranuclear inclusions were detected by skin pathological biopsy. 4/15 patients started with urinary symptoms, 11/15 patients with NIID combined with different degrees of urinary system symptoms, manifested as frequent urination, weak urination, incontinence and other neurogenic bladder symptoms, and the serious patients due to long-term urinary retention, secondary ureteral dilation, hydronephrosis, even renal failure, some patients with urinary system symptoms may be earlier than other systems.

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[11名神经元核内包涵体病患者泌尿系统症状的临床特征]。
总结11例神经元核内包涵体病(NIID)患者泌尿系统症状的特点,以提高对该病的认识。我们对郑州大学第一附属医院在2020年1月至2022年12月期间入组的15例NIID患者进行了回顾性分析。所有患者均经NOTCH2NLC基因和病理证实。通过基因检测发现NIID的致病基因NOTCH2NLC基因存在GGC重复扩增突变,通过皮肤病理活检发现嗜酸性粒细胞核内包涵体。4/15例患者以泌尿系统症状起病,11/15例NIID患者合并不同程度的泌尿系统症状,表现为尿频、尿无力、尿失禁等神经源性膀胱症状,严重者因长期尿潴留、继发性输尿管扩张、肾积水甚至肾功能衰竭,部分患者泌尿系统症状可能早于其他系统。
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来源期刊
Zhonghua yi xue za zhi
Zhonghua yi xue za zhi Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
400
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