ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2012, Vol. 21 ›› Issue (3): 295-298.

• 论文 • 上一篇    

肾病综合征、糖尿病、癫痫、预激综合征和神经肌源性损害

  

  • 出版日期:2012-06-28 发布日期:2012-06-25

Recurrent nephritic syndrome with diabetes, epilepsy, pre-excitation syndrome and neuromyopathy-case report

  • Online:2012-06-28 Published:2012-06-25

摘要:

摘 要  报道1例青年女性线粒体病,初发临床表现为肾病综合征,病程中逐渐出现糖尿病、癫痫、预激综合征以及神经肌源性损害等系统损害;经外周血细胞线粒体基因组检测证实线粒体DNA 8969位点G→A发生点突变,证实线粒体病的一个新的点突变。提示一旦临床上高度疑似线粒体病,虽未发现经典位点基因突变,仍需检测整个线粒体基因组。警示临床医生应根据患者肾外多系统受累并结合相关实验室检查统筹分析,不要仅限于肾脏病诊断,以避免误诊、漏诊。

关键词: 关键词 , 线粒体突变 , 肾病综合征

Abstract:

ABSTRACT  A 19-year-old female patient with mitochondrial disease manifested primarily nephrotic syndrome, following diabetes, epilepsy, pre-excitation syndrome and neuromyopathy was reported. A novel change 8969G>A mutation in mitochondrial-DNA was found in peripheral blood. This case may be helpful for clinicians to pay attention on mitochondrial disease, which usually manifest multisystemic dysfunction with a broad clinical spectrum,not simply confined to the diagnosis of kidney, to avoid errors and missions of diagnosis. When the tests for common mitochondrial DNA (mtDNA) point mutations are negative and the mtDNA defects are still hypothesized, it is necessary to screen the entire mitochondrial genome for unknown mutations in order to confirm the diagnosis.

Key words: Key words  , mitochondrial-DNA mutation  , nephritic syndrome  , mitochondrial disease