老年诊断Bardet-Biedl综合征

H. Şahin, E. Oguz, K. Atilgan, Levent Aktaş, Tamer Selen
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摘要

Bardet-Biedl综合征(BBS)是一种罕见的常染色体隐性多系统遗传病,由影响中心体和纤毛运输的基因缺陷引起。主要表现为杆状锥体营养不良、轴后多指畸形、中枢性肥胖、生殖器异常、肾脏缺陷和智力低下。迄今为止已鉴定出21个基因(BBS1-BBS20和NPHP1);最常见的基因是BBS1(位点11q13)和BBS10。慢性肾脏疾病是发病率和死亡率的主要原因。在此,我们报告了一位慢性肾衰竭的患者,他被延迟诊断为BBS。早期诊断和多学科管理的BBS与肾脏累及是至关重要的。
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Bardet-Biedl Syndrome Diagnosed at an Advanced Age
ABS TRACT Bardet-Biedl syndrome (BBS) is a rare autosomal recessive multi-systemic genetic disorder caused by defects in genes affecting the centrosome and ciliary transport. It is primarily characterized by rod-cone dystrophy, postaxial polydactyly, central obesity, genital abnormalities, renal defects, and mental retardation. Twenty-one genes (BBS1-BBS20 and NPHP1) have been identified to date; the most common genes are BBS1 (Locus 11q13) and BBS10. Chronic kidney disease is a major cause of morbidity and mortality. Herein we presented a patient with chronic renal failure who had delayed diagnosis of BBS. The early diagnosis and a multidisciplinary management of BBS with renal involvement has a critical importance.
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