4例 SMARCAL1 基因突变相关Schimke免疫-骨发育不良患者临床特征分析并文献复习

Clinical Analysis of Four Patients with Schimke Immuno-Osseous Dysplasia and a Literature Review

  • 摘要:
    目的 分析4例Schimke免疫-骨发育不良(SIOD)患者的临床特征、治疗及预后,以增强临床医师对该疾病的认识。
    方法 纳入2018年5月至2024年6月在复旦大学附属儿科医院确诊为SIOD的4例患者,对其临床资料进行回顾性分析。
    结果 本研究纳入的4例患者起病年龄在幼儿期或学龄前期,4例患者均出现淋巴细胞减少;2例患者出现蛋白尿,其中1例患者进展为慢性肾脏衰竭;1例患者出现身材矮小。本研究4例患者均以对症支持治疗和延缓肾脏衰竭为主。
    结论 SIOD患者起病症状多样,病情进展不一,临床诊断和治疗还存在一定挑战,需进一步研究。

     

    Abstract:
    Objective To have better clinical understanding of Schimke immuno-osseous dysplasia(SIOD) through analyzing the clinical features, treatment, and prognosis of four patients with SIOD.
    Methods We used retrospective analysis to analyze the clinical data of four patients who were diagnosed with SIOD at the Children′ hospital of Fudan University from May 2018 to June 2024.
    Results The onset of disease of the four patients of this study was in their early childhood or preschool. All four patients had lymphopenia. Two patients had proteinuria, and one patient has progressed to chronic renal failure. One patient presented with short stature. The treatment for the four patients was mainly by symptomatic supportive therapy and on prevention and delay of renal failure disease.
    Conclusions The patients with SIOD have different onset symptoms and progression of the disease.The treatment has not yet completely cured the disease. The clinical diagnosis and treatment of SIOD remains a challenge and needs further investigating.

     

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