ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2021, Vol. 30 ›› Issue (2): 194-198.DOI: 10.3969/j.issn.1006298X.2021.02.020

• • 上一篇    

Dent病1型

  

  • 出版日期:2021-04-28 发布日期:2021-06-06

Dent disease type 1

  • Online:2021-04-28 Published:2021-06-06

摘要: 12岁男性,病程4年,临床表现为低分子蛋白尿,无镜下血尿,血压及肾功能正常,近端肾小管损伤(低尿酸、尿糖阳性),尿钙排泄增高,肾脏B超提示双肾结晶。肾穿刺活检示肾小管间质病变,二代测序技术提示CLCN5基因插入突变(c.2146_2147insAC),该插入突变导致移码突变,患儿为半合子突变。最终诊断为Dent病 1型。

关键词: Dent病1型, 遗传性肾小管疾病, CLCN5基因, X连锁隐性遗传

Abstract: A 12yearold male with 4year course presented with low molecular weight proteinuria,no microscopic hematuria,normal blood pressure and renal function,proximal renal tubule injury (hypouricemia glucoseuria,positive urine glucose),hypercalciuria.Renal ultrasound revealed bilateral kidney crystal.Renal biopsy showed tubulointerstitial lesions.Nextgeneration sequencing(NGS)revealed an insertion mutation (c.2146_2147insAC) in the CLCN5 gene,which resulted in a frame shift mutation.The child had a semizygotic mutation.The final diagnosis was Dent disease type 1.


Key words: Dent disease type 1, hereditary tubular disease, CLCN5 gene, X-linked recessive inheritance