胰岛素基因突变所致的永久性新生儿糖尿病误诊54年家系报道
报道一例55岁确诊的胰岛素基因(INS)杂合突变所致永久性新生儿糖尿病(PNDM)家系。先证者以“发现血糖升高54年,恶心、呕吐5 d”为主诉收入住院,结合临床资料及家族史拟诊为PNDM。收集先证者及其儿子的外周血进行全外显子高通量二代测序,先证者及其儿子在外显子区域检测到INS基因 c.G287A(p.C96Y)杂合突变。先证者予以强化胰岛素治疗,血糖控制较前稳定。本文结合文献探讨其临床特征、诊治要点,旨在提高临床对INS基因突变致PNDM患者的认识。...
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| Published in | 中华糖尿病杂志 Vol. 13; no. 9; pp. 906 - 908 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
河南科技大学临床医学院 河南科技大学第一附属医院内分泌代谢科 洛阳市内分泌代谢病临床医学研究中心 河南省遗传罕见病医学重点实验室 471003
27.09.2021
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1674-5809 |
| DOI | 10.3760/cma.j.cn115791-20201213-00712 |
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| Abstract | 报道一例55岁确诊的胰岛素基因(INS)杂合突变所致永久性新生儿糖尿病(PNDM)家系。先证者以“发现血糖升高54年,恶心、呕吐5 d”为主诉收入住院,结合临床资料及家族史拟诊为PNDM。收集先证者及其儿子的外周血进行全外显子高通量二代测序,先证者及其儿子在外显子区域检测到INS基因 c.G287A(p.C96Y)杂合突变。先证者予以强化胰岛素治疗,血糖控制较前稳定。本文结合文献探讨其临床特征、诊治要点,旨在提高临床对INS基因突变致PNDM患者的认识。 |
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| AbstractList | 报道一例55岁确诊的胰岛素基因(INS)杂合突变所致永久性新生儿糖尿病(PNDM)家系。先证者以“发现血糖升高54年,恶心、呕吐5 d”为主诉收入住院,结合临床资料及家族史拟诊为PNDM。收集先证者及其儿子的外周血进行全外显子高通量二代测序,先证者及其儿子在外显子区域检测到INS基因 c.G287A(p.C96Y)杂合突变。先证者予以强化胰岛素治疗,血糖控制较前稳定。本文结合文献探讨其临床特征、诊治要点,旨在提高临床对INS基因突变致PNDM患者的认识。 |
| Author | 姜宏卫 段倩雯 贾竹敏 李利平 刘婕 彭慧芳 曹慧芳 马瑜瑾 刘鹏 付留俊 |
| AuthorAffiliation | 河南科技大学临床医学院 河南科技大学第一附属医院内分泌代谢科 洛阳市内分泌代谢病临床医学研究中心 河南省遗传罕见病医学重点实验室 471003 |
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| Author_FL | Liu Peng Li Liping Jia Zhumin Peng Huifang Liu Jie Ma Yujin Fu Liujun Jiang Hongwei Duan Qianwen Cao Huifang |
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| DocumentTitle_FL | A 54-year family misdiagnosis report of permanent neonatal diabetes mellitus induced by the insulin gene mutation |
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| Keywords | 病程 并发症 胰岛素基因突变 糖尿病 婴儿,新生 |
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| PublicationTitle | 中华糖尿病杂志 |
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| Publisher | 河南科技大学临床医学院 河南科技大学第一附属医院内分泌代谢科 洛阳市内分泌代谢病临床医学研究中心 河南省遗传罕见病医学重点实验室 471003 |
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| Title | 胰岛素基因突变所致的永久性新生儿糖尿病误诊54年家系报道 |
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