ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2024, Vol. 33 ›› Issue (6): 591-595.DOI: 10.3969/j.issn.1006-298X.2024.06.018

• 肾活检 • 上一篇    下一篇

Ia型糖原累积病肾损害

  

  • 出版日期:2024-12-28 发布日期:2025-01-03

Type Ia glycogen storage disease related renal damage

  • Online:2024-12-28 Published:2025-01-03

摘要: 青年男性患者,因发现蛋白尿 10 年余就诊,临床相关检查提示肝肿大,空腹血糖低,高尿酸血症,高脂血症及骨质疏松,肾活检病理提示肾小球体积增大伴球性废弃,肾小管上皮细胞肥大扩张、空泡变性、糖原沉积, 基因检测提示 G6PC 基因变异(c.648G>T),综合考虑 Ia 型糖原累积病肾损害。

Abstract: A  young  male  patient  has  been  experiencing  proteinuria  for  over  10  years.  Clinical  examination revealed hepatomegaly, low fasting blood glucose, hyperuricemia, hyperlipidemia, and osteoporosis. Renal biopsy histology indicated enlarged glomeruli  with  global  sclerosis,  as  well  as  hypertrophic  and  dilated  tubular  epithelial  cells  exhibiting vacuolar degeneration and glycogen deposition. Subsequent genetic testing identified a mutation in the G6PC gene (c.648G>T), leading to the diagnosis of type Ia glycogen storage disease⁃related renal damage in this patient.

Key words:  , type Ia glycogen storage disease renal damage glycogen deposition genetic variants