【以AAAS基因新突变致贲门失弛缓症为首发临床表型的Allgrove综合征1例】。

L Y Xiong, P Y Chen, J Xie, L Ren, H L Wang, Y Cheng, P Q Wu, H W Li, S T Gong, L L Geng
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[A case of Allgrove syndrome with achalasia of cardia as its first clinical phenotype caused by a new mutation of AAAS gene].
患儿 女,3岁9月龄,因间断呕吐2年于2022年2月就诊于广州市妇女儿童医疗中心消化科,主要临床表现为进食后呕吐,全身皮肤色黑,哭时无泪,上消化道钡餐造影示贲门失弛缓症,肾上腺功能检查示皮质醇减低、促肾上腺皮质激素增高,符合肾上腺皮质功能低下,基因检查存在AAAS基因c.923C>A纯合无义突变,确诊为Allgrove综合征,给予口服醋酸氢化可的松、左甲状腺素钠片及多潘立酮片,门诊随访1年,患儿皮肤、眼周色素渐变浅,每个月呕吐4~5次。.
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