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A Five-Year-Old Boy with GAII Administered with High-Dose Riboflavin: A Case Report 给予大剂量核黄素治疗1例5岁GAII男童
Pub Date : 2020-12-31 DOI: 10.18502/WJPN.V3I1.5065
N. Mirhosseini, S. Taghiyar, M. Saatchi, Zeynab Eshaghiyeh
Background: Inborn errors of metabolism can cause a number of morbidities and mortality in pediatric population. Glutaric aciduria II (GAII) or multiple acyl-CoA dehydrogenase deficiency (MADD) is an ultra-rare (i.e. <1:50 000) disorder of mitochondrial fatty acid oxidation (FAO) and amino acid metabolism. It is inherited in an autosomal recessive manner. Congenital deficiency of electron transfer flavoproteins and ETF dehydrogenase genes cause an illness that combines the features of impaired fatty acid oxidation and impaired oxidation of several aminoacides. Newborn screening (NBS) using tandem mass spectrometry (MS/MS) permits detection of neonates with glutaricaciduria-Type II. Case Presentation: We reported a five-year-old boy with muscle weakness of lower limb and inability to walk (myopathy), seizure due to hypoglycemia (as a result of prolonged fasting), hepatomegaly and rhabdomyolysis that treated with high dose riboflavin and he is well in follow up. Conclusion: Early diagnosis of mild cases and treatment with high dose riboflavin may have better prognosis.
背景:在儿科人群中,先天性代谢错误可引起许多发病率和死亡率。戊二酸尿症II (GAII)或多酰基辅酶a脱氢酶缺乏症(MADD)是一种超罕见(即<1:50 000)线粒体脂肪酸氧化(FAO)和氨基酸代谢紊乱。它以常染色体隐性遗传的方式遗传。先天性缺乏电子转移黄蛋白和ETF脱氢酶基因会导致一种疾病,这种疾病结合了脂肪酸氧化受损和几种氨基酸氧化受损的特征。新生儿筛查(NBS)使用串联质谱(MS/MS)允许检测新生儿戊二酸血症- II型。病例介绍:我们报告了一名5岁男孩,他患有下肢肌肉无力和无法行走(肌病),低血糖引起的癫痫发作(由于长时间禁食),肝肿大和横纹肌溶解,经大剂量核黄素治疗,随访良好。结论:轻症早期诊断,大剂量核黄素治疗可获得较好的预后。
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引用次数: 0
Effects of Smoking on the Health of Children from Embryonic Period to Adulthood: A Review Article 吸烟对胚胎期至成年期儿童健康影响的综述
Pub Date : 2020-12-31 DOI: 10.18502/WJPN.V3I1.5062
Haniye Alihoseini
Cigarettes contain many toxic and harmful compounds. There are approximately 600 substances in cigarette that produce more than 7,000 chemicals when burned. In general, these compounds are hazardous either for smokers or both smokers and passive smokers. Today, due to the increasing number of female smokers, especially mothers who smoke during pregnancy, fetuses and children are faced with serious and irreparable consequences. Nicotine (the addictive substance in cigarettes), carbon monoxide, and numerous other poisons inhaled from cigarettes are transported through the bloodstream, which can be harmful to health of the fetus and the development of its organs, such as the fetal brain. Smoking has consequences not only during pregnancy but also during breastfeeding. In addition to the aforementioned, smoking is considered as one of the most concerning teratogens which can cause structural or functional abnormality, growth restriction, birth defects, and so on. These consequences can have dramatic and significant effects on infancy, childhood, and adulthood. According to the contents, in this review we try to discuss influences of smoking on the development of the fetus, growth of children, and eventually its effects on the development of congenital disorders.
香烟含有许多有毒有害的化合物。香烟中大约有600种物质,燃烧时会产生7000多种化学物质。一般来说,这些化合物要么对吸烟者有害,要么对吸烟者和被动吸烟者都有害。今天,由于越来越多的女性吸烟者,特别是在怀孕期间吸烟的母亲,胎儿和儿童面临着严重的和不可弥补的后果。尼古丁(香烟中的成瘾性物质)、一氧化碳和许多其他从香烟中吸入的有毒物质会通过血液输送,这可能对胎儿的健康和胎儿大脑等器官的发育有害。吸烟不仅对怀孕有影响,对哺乳也有影响。除了上述,吸烟被认为是最令人担忧的致畸物之一,它可以导致结构或功能异常,生长限制,出生缺陷等。这些后果会对婴儿期、儿童期和成年期产生戏剧性和显著的影响。本文就吸烟对胎儿发育、儿童生长发育的影响,以及吸烟对先天性疾病发展的影响作一综述。
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引用次数: 1
Biomarkers of Hypoxic-Ischemic Encephalopathy in Newborns 新生儿缺氧缺血性脑病的生物标志物
Pub Date : 2020-12-31 DOI: 10.18502/WJPN.V3I1.5063
M. Noorishadkam, S. Savabieh, Mohammadreza Sharifi
Biomarkers are particles that are released from target organs during tissue hypoxia injury. Recognizing biomarkers released from the damaged brain helps physicians determine the extent of tissue damage and the use of protective techniques in clinical treatment.  Previous studies revealed that biomarkers such as brain-specific proteins (neuron-specific enolase (NSE), S100B, ubiquitincarboxy-terminal hydrolase-L1, total Tau) and cytokines, including IL-6, IL-1β, IL-10, IL-13, interferon-gamma, TNF alpha and brain-derived neurotrophic factor are useful in diagnosing hypoxic-ischemic encephalopathy (HIE) and predicting nerve growth outcomes. However, optimal sensitivity and specificity of these biomarkers have not been achieved, which has limited their clinical application. This review focuses on biomarkers such as lactate, LDH, NRBC, NSE, S100B, GFAP, CPK-BB, IL-6, NPBI, UCHL-1. More sensitive and accurate instruments such as brain imaging (such as brain MRI), brain function (such as NIRS, aEEG), and long-term neuroassay should be used in the future to confirm biomarkers of neonatal brain damage.
生物标志物是组织缺氧损伤时靶器官释放的颗粒。识别受损大脑释放的生物标志物有助于医生确定组织损伤的程度,并在临床治疗中使用保护技术。先前的研究表明,脑特异性蛋白(神经元特异性烯醇化酶(NSE), S100B,泛素羧基末端水解酶- l1,总Tau)和细胞因子(IL-6, IL-1β, IL-10, IL-13,干扰素γ, TNF α和脑源性神经营养因子)等生物标志物可用于诊断缺氧缺血性脑病(HIE)和预测神经生长结局。然而,这些生物标志物的最佳灵敏度和特异性尚未达到,这限制了它们的临床应用。本文对乳酸、LDH、NRBC、NSE、S100B、GFAP、CPK-BB、IL-6、NPBI、UCHL-1等生物标志物进行了综述。未来应该使用更灵敏和准确的仪器,如脑成像(如脑MRI)、脑功能(如近红外光谱、aEEG)和长期神经分析来确认新生儿脑损伤的生物标志物。
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引用次数: 0
Association of -634 C/G Polymorphism at Vascular Endothelial Growth Factor Gene with Risk Retinopathy of Prematurity 血管内皮生长因子基因-634 C/G多态性与早产儿视网膜病变的关系
Pub Date : 2020-12-31 DOI: 10.18502/WJPN.V3I1.5060
M. Ghadyani, M. Noorishadkam, Seyed Hamed Hosseini-Jangjou, R. Bahrami, E. Akbarian, Maryam Saeida-Ardekani, H. Neamatzadeh, Zahra Zare
Background: Retinopathy of prematurity (ROP) is a major cause of blindness in newborn infants worldwide. It is well known that neovascularization of the retina is prominent in the proliferative stages of ROP. It is suggested that vascular endothelial growth factor (VEGF) may play a role in the development of ROP. The aim of this study was to evaluate the association of the VEGF -634C/G polymorphism at VEGF with risk of ROP. Methods: In the study 54 neonates diagnosed with ROP and 55 healthy neonates served as controls. The VEGF -634 C/G polymorphism was genotyped by restriction fragment length polymorphism (PCR-RFLP) technique. Results: The CC, CG, and GG genotypes of VEGF -634C/G polymorphism were found in 33.3%, 38.9%, and 27.8% of neonates with ROP, respectively. In controls, CC, CG, and GG genotypes were seen in 43.6%, 45.4%, and 10.9%, respectively. Frequency of mutant allele (C) was 52.8% in neonates with ROP and 66.4% in healthy neonates. There was a significant difference in the distribution of VEGF -634C/G polymorphisms between cases and controls. Moreover, there was a significant association between VEGF -634C/G polymorphisms and ROP risk (OR = 3.141, 95% CI 1.115-8.851, P = 0.030). Conclusion: This study results revealed that VEGF -634C/G polymorphism might serve as a risk factor for development of ROP. Thus, clinicians should be aware of the ROP risk in infant with the VEGF -634C/G polymorphism and ROP risk in infants. However, large sample size and well-designed studies are necessary to validate our findings.
背景:早产儿视网膜病变(ROP)是全世界新生儿失明的主要原因。众所周知,视网膜新生血管的形成在ROP的增殖阶段是突出的。提示血管内皮生长因子(VEGF)可能参与了ROP的发生发展。本研究的目的是评估VEGF -634C/G多态性与ROP风险的关系。方法:以54例诊断为ROP的新生儿和55例健康新生儿为对照。采用限制性内切片段长度多态性(PCR-RFLP)技术对VEGF -634 C/G多态性进行基因分型。结果:在ROP新生儿中,VEGF -634C/G多态性基因型分别为CC、CG、GG,分别为33.3%、38.9%、27.8%。在对照组中,CC、CG和GG基因型分别占43.6%、45.4%和10.9%。突变等位基因(C)的频率在ROP新生儿中为52.8%,在健康新生儿中为66.4%。VEGF -634C/G多态性在病例和对照组之间的分布差异有统计学意义。此外,VEGF -634C/G多态性与ROP风险之间存在显著相关性(OR = 3.141, 95% CI 1.115-8.851, P = 0.030)。结论:VEGF -634C/G多态性可能是发生ROP的危险因素。因此,临床医生应该了解VEGF -634C/G多态性婴儿的ROP风险和婴儿的ROP风险。然而,为了验证我们的发现,需要大量的样本和精心设计的研究。
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引用次数: 1
Clinical Features of Infantile GM1 Gangliosidosis: Report of an Iranian Patient 婴儿GM1神经节脂质病的临床特征:伊朗患者的报告
Pub Date : 2020-12-31 DOI: 10.18502/WJPN.V3I1.5066
M. Ordooei, R. Fallah, F. Abdi, F. Soheilipour
Background: GM1 gangliosidosis is an autosomal recessive lysosomal storage disease due to a lack of β-galactosidase activity, exactly because of mutations in the GLB1 gene. GM1 gangliosidosis is a rare disease that could occur either during infancy (infantile type 1), as a juvenile (type 2), or in adulthood (type 3) in both nervous and skeletal systems. Type 1 is characterized by premature psychomotor deterioration, visceromegaly, macular cherry-red spot, skeletal deformities, and death in the first 2 years of life. Case Presentation: We reported an Iranian infant who, on initial check-up, had coarse face, visceromegaly, dystonia, and hepatosplenomegaly that increased at 15 months of age. At the initial check-up, a genetic test was performed and GM1 gangliosidosis type 1 was diagnosed. Conclusion: infant form is characterized by early-onset before the age of 6 months and rapidly progressive psychomotor deterioration, facial abnormalities, and visceromegaly.
背景:GM1神经节脂质沉积症是一种常染色体隐性溶酶体贮积症,由于缺乏β-半乳糖苷酶活性,正是由于GLB1基因突变。GM1神经节脂质沉积症是一种罕见的疾病,可发生在婴儿期(婴儿1型)、少年期(2型)或成年期(3型)的神经和骨骼系统。1型的特点是精神运动功能过早恶化,内脏肿大,黄斑樱桃红斑,骨骼畸形,2岁前死亡。病例介绍:我们报告了一名伊朗婴儿,初次检查时,面部粗糙,内脏肿大,肌张力障碍,肝脾肿大,并在15个月大时增加。在最初的检查中,进行了基因检测,诊断为GM1神经节脂质病1型。结论:婴儿形态以6个月前早发、快速进行性精神运动恶化、面部异常、内脏肿大为特点。
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引用次数: 1
Three Patients with CPT1A Deficiency: Literature Review and Case Series CPT1A缺乏症3例:文献回顾及病例分析
Pub Date : 2020-12-31 DOI: 10.18502/WJPN.V3I1.5064
N. Mirhosseini, M. Saatchi, S. Taghiyar
Background: Carnitine palmitoyltransferase 1A deficiency is a rare genetic disorder with autosomal recessive inheritance pattern of fatty acid metabolism secondary to CPT1A mutation. Several dozen infants and children have been described with a deficiency of the liver and kidney CPT1 isoenzyme (CPT1-A). Clinical manifestation includes fasting-induced hypoketotic hypoglycemia, occasionally with extremely abnormal liver function test (LFT) and rarely with renal tubular acidosis. Acyl carnitine analysis has been the main method for the diagnosis of CPT1A deficiency.  Prompt treatment of hypoglycemia includes intravenous fluid containing 10% dextrose. To prevent hypoglycemia, infants should eat frequently during the day and have cornstarch continuously at night. Fasting should not last more than 12 hours during illness, surgery, or medical procedures. Case Presentation: We reported three patients with CPT1A deficiency presented with hypoglycemia and Reye like syndrome in early childhood that with early diagnosis and treatment they are well in follow-up. Conclusion: Prognosis of this genetic disorder will be good with appropriate treatment.
背景:肉碱棕榈酰基转移酶1A缺乏症是一种罕见的脂肪酸代谢常染色体隐性遗传模式,继发于CPT1A突变。几十名婴儿和儿童被描述为肝脏和肾脏CPT1同工酶(CPT1- a)缺乏。临床表现为空腹性低酮性低血糖,偶有肝功能异常,极少有肾小管酸中毒。酰基肉碱分析是诊断CPT1A缺乏症的主要方法。低血糖的及时治疗包括静脉注射含有10%葡萄糖的液体。为防止低血糖,婴儿应在白天多食,晚上连续食用玉米淀粉。在生病、手术或医疗过程中禁食不应超过12小时。病例介绍:我们报告了3例CPT1A缺乏症患者在儿童早期出现低血糖和雷氏综合征,通过早期诊断和治疗,随访效果良好。结论:经适当治疗,该病预后良好。
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引用次数: 0
Investigating the Relationship between Resiliency and Psychological Well-Being of Nurses in ICU & NICU of University Hospitals of Shiraz in 2012 2012年设拉子大学附属医院ICU和NICU护士弹性与心理健康的关系调查
Pub Date : 2020-05-06 DOI: 10.18502/wjpn.v2i1.2808
Esmat Sadeghifar, Mehrdad Salari, Frahnaz Farnia, S. Mirzae, K. Nasiriani
Background: Human resources, especially nurses, have a significant role in health care services due to the nature of their service and their direct relationships with patients. In this regard, nurses are encountered with higher stressful factors resulting from their responsibilities in providing ease and comfort for patients. Resiliency is one of the main purposes of health promotion and is considered to be a protective agent. Moreover, psychological well-being refers to striving for perfection in order to realize the potential and real individual talents and abilities. This study aims to determine the relationship between resiliency and psychological well-being of nurses in ICU & NICU of Shiraz in 2017.   Methods: This is a descriptive-correlational research. The statistical society consists of 150 nurses working in ICU & NICU of university hospitals in Shiraz. The tools of data collection were psychological well-being and resiliency questionnaires. The collected data were analyzed via SPSS software and descriptive-inferential statistics.   Results: According to the Table, 86% of the subjects are females, and 14% are males; 53.4% of them are single, and 44.6% of them are married; 84% of them have bachelor degree, and 16% of them have master degree. Average age and work experience of the subjects are 31.38 and 4.79 years, respectively. Average resiliency and psychological well-being scores of the nurses are estimated to be 66.03 ± 16.72 and 119.55 ± 24.35, respectively. Their significant relationship was approved by Pearson test P = 0.002).   Conclusions: The results indicated that resiliency and psychological well-being of the nurses have significant relationship; with an increase in resiliency, their psychological and mental health increases. Therefore, some programs and interventions are recommended for nurses in order to improve their resiliency, and consequently, promote their psychological well-being.
背景:人力资源,特别是护士,由于其服务的性质及其与患者的直接关系,在卫生保健服务中发挥着重要作用。在这方面,护士会遇到更高的压力因素,因为他们的责任是为患者提供舒适和舒适。弹性是促进健康的主要目的之一,被认为是一种保护剂。此外,心理健康是指追求完美,以实现潜在的和真正的个人才能和能力。本研究旨在了解2017年设拉子ICU和NICU护士心理弹性与心理健康的关系。方法:采用描述性相关研究。统计学会由设拉子大学医院重症监护病房和新生儿重症监护病房的150名护士组成。数据收集工具为心理健康和弹性问卷。收集的数据通过SPSS软件和描述-推理统计进行分析。结果:从表中可以看出,86%的受试者为女性,14%为男性;单身占53.4%,已婚占44.6%;本科以上学历占84%,硕士以上学历占16%。受试者的平均年龄为31.38岁,平均工作经验为4.79岁。护理人员心理弹性和心理健康的平均得分分别为66.03±16.72分和119.55±24.35分。经Pearson检验,P = 0.002)。结论:结果表明护士心理弹性与心理健康存在显著关系;随着弹性的增强,他们的心理和精神健康状况也会改善。因此,一些方案和干预措施推荐护士,以提高他们的弹性,从而促进他们的心理健康。
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引用次数: 1
Prevalence of Congenital Anomalies in Newborns in Zabol: A Single Hospital Based Study Zabol新生儿先天性畸形患病率:一项基于单一医院的研究
Pub Date : 2020-05-05 DOI: 10.18502/wjpn.v1i1.2780
Mojtaba Jahantiq, M. Mazaheri, Tayebeh Rabaninia, A. Javaheri, Nooshin Amjadi
Background: Congenital anomalies are conditions of prenatal origin that are present at birth, potentially impacting an infant's health, development and survival. The birth of a newborn with congenital anomalies imposes financial and emotional burdens on families. The aim of this study was to investigate the epidemiology of congenital anomalies in 2014 in Zabol, Iran.   Methods: This cross-sectional study was carried out in the Amir Al-Momenin Hospital between May of 2013 and April 2014. All the live born were included, and we have examined all newborns for the presence of congenital anomalies.   Results: During the twelve months, 9,309 newborns were included to the study. Of them, 72 (0.8%) newborns were affected with a congenital malformation. The congenital anomalies affected significantly higher proportion of male newborns (66.7%) than female newborns (33.3%). Among of them, musculoskeletal system abnormalities account for 45.9% of the total abnormalities allocating the highest frequency to itself. Subsequently, central nervous system abnormality (19.4%), gastrointestinal anomaly (15.3%), urinary tract abnormality (9.7%), chromosomal abnormality (2.8%), and multiple anomalies (1.4%) were frequent, respectively.   Conclusion: This study showed that prevalence of congenital anomalies is restively high in Zabol city. The results of this study identify the necessity of genetic counseling and early diagnosis to prevention, care and surveillance.
背景:先天性异常是指出生时就存在的、可能影响婴儿健康、发育和生存的先天性异常。先天性畸形新生儿的出生给家庭带来了经济和情感上的负担。本研究的目的是调查2014年伊朗Zabol先天性异常的流行病学。方法:本横断面研究于2013年5月至2014年4月在Amir Al-Momenin医院进行。所有活产儿都包括在内,我们检查了所有新生儿是否存在先天性异常。结果:在12个月内,9309名新生儿被纳入研究。其中72例(0.8%)新生儿患有先天性畸形。男性新生儿先天性畸形发生率(66.7%)明显高于女性新生儿(33.3%)。其中,肌肉骨骼系统异常占所有异常的45.9%,其自身的异常频率最高。其次是中枢神经系统异常(19.4%)、胃肠道异常(15.3%)、泌尿道异常(9.7%)、染色体异常(2.8%)和多发性异常(1.4%)。结论:本研究显示扎布勒市先天性畸形患病率居高不下。本研究的结果确定了遗传咨询和早期诊断对预防、护理和监测的必要性。
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引用次数: 1
A Survey on the Relationship between Ages above 35 Years and Gestational Diabetes Mellitus 年龄大于35岁与妊娠期糖尿病关系的调查
Pub Date : 2020-05-05 DOI: 10.18502/wjpn.v1i1.2781
Kolsoum Rezaie Kahkhaie, Ashrafali Rezaie Kehkhaie, Leili Rezaie Kahkhaie, Maryam Koochakzai, K. R. Keikhaie, Maryam Nakhaee Moghaddam
Background: The aim of this study was to determine the relationship between ages above 35 years old and gestational diabetes mellitus in Zabol.   Methods: This study was conducted in Zabol city during 2016-2017. Analyzing the data to check the validity of the hypothesis in any type of research is of particular importance and is performed nowadays in most research studies based on the data gathered from the subjects under study. Data analysis is one of the main and most important parts of any research. Raw data is analyzed using statistical software.   Results: The results of this study showed that according to the gestational diabetes mellitus score of 150 mothers, about gestational diabetes, 11 cases (7.3%) had gestational diabetes, and 132 (92.7%) others have not experienced gestational diabetes. Generally, according to the average score (1.92), there is no gestational diabetes in mothers.   Conclusion: The most important risk factors for gestational diabetes are age-obesity and familial history, respectively.
背景:本研究的目的是确定35岁以上妇女与Zabol妊娠期糖尿病的关系。方法:本研究于2016-2017年在Zabol市进行。在任何类型的研究中,分析数据以检查假设的有效性都是特别重要的,现在大多数研究都是基于从研究对象收集的数据进行的。数据分析是任何研究的主要和最重要的部分之一。使用统计软件对原始数据进行分析。结果:本研究结果显示,根据150名母亲的妊娠糖尿病评分,关于妊娠糖尿病,11例(7.3%)患有妊娠糖尿病,132例(92.7%)未患妊娠糖尿病。一般情况下,根据平均得分(1.92),母亲没有妊娠糖尿病。结论:年龄肥胖和家族史分别是妊娠期糖尿病最重要的危险因素。
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引用次数: 0
A Girl with Farber Disease Treated with Bone Marrow Transplantation 骨髓移植治疗法伯氏病1例
Pub Date : 2020-05-05 DOI: 10.18502/wjpn.v1i1.2786
N. Mirhosseini, Elham Farasat, E. Sheikhpour
Background: Farber disease is a very rare autosomal recessive disease of lipid metabolism caused by deficient activity of lysosomal acid ceramidase. Symptoms can begin in the first year of life by a triad of painful and swollen joints and subcutaneous nodules, progressive hoarseness and variable central nervous system involvement.   Case Report: A 5 months old girl with subcutaneous nodules in limbs, pain and swelling in her fingers, Knees, elbow and hoarseness was referred to our clinic. She had neurodevelopment delay in walking and talking. Genetic analysis was reported homozygosity for a c.830C>A mutation in exon 11 of N-Acylsphingosine Amidohydrolase 1 (ASAH1) gene. She diagnosed with Farber disease and treated with bone marrow transplantation. After that her signs and symptoms were improved and she could to walk.   Conclusion: Farber disease is associated with characteristics including swollen joints, subcutaneous nodules, progressive hoarseness and variable CNS involvement. Moreover, bone marrow transplantation improved these symptoms.
背景:法伯病是由溶酶体酸性神经酰胺酶活性不足引起的一种非常罕见的脂质代谢常染色体隐性遗传病。症状可在出生后的第一年开始,表现为关节疼痛和肿胀、皮下结节、进行性声音嘶哑和中枢神经系统受累。病例报告:一个5个月大的女孩,四肢皮下结节,手指,膝盖,肘部疼痛和肿胀,声音嘶哑。她在走路和说话方面神经发育迟缓。遗传分析显示,n -酰基鞘氨酸氨基水解酶1 (ASAH1)基因外显子11突变为c.830C . >a纯合性。她被诊断患有法伯氏病,并接受了骨髓移植治疗。之后,她的症状和体征得到了改善,她可以走路了。结论:Farber病与关节肿胀、皮下结节、进行性声音嘶哑和中枢神经系统受累等特征相关。此外,骨髓移植可改善这些症状。
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引用次数: 0
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World Journal of Peri & Neonatology
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