临床儿科杂志 ›› 2019, Vol. 37 ›› Issue (6): 454-.doi: 10.3969/j.issn.1000-3606.2019.06.013

• 综合报道 • 上一篇    下一篇

Barth 综合征 1 例临床及基因突变分析

闫茹1,诸澎伟2,周坚1   

  1. 无锡市人民医院/儿童医院1.儿科实验室,2.儿急诊科(江苏无锡 214000)
  • 出版日期:2019-06-15 发布日期:2019-06-10
  • 通讯作者: 诸澎伟 电子信箱:dingankana@sohu.com
  • 基金资助:
    无锡市临床重点专科项目(No.2017EJZSZD)

Clinical manifestation and gene mutation analysis of Barth syndrome in a child

YAN Ru1, ZHU Pengwei2, ZHOU Jian1   

  1. 1.Pediatric Laboratory, 2.Pediatric Emergency Department, Wuxi Children’s Hospital , Wuxi 214000, Jiangsu, China
  • Online:2019-06-15 Published:2019-06-10

摘要: 目的 探讨Barth综合征(BTHS)的临床表现及遗传学特征。方法 回顾分析1例BTHS患儿的临床资料。结 果 患儿,男,10月龄,以左室增大,爆发性心肌炎,心力衰竭,肌无力,单核细胞增多,低血糖,乳酸性酸中毒,腹泻,面部 异常等为主要表现。基因测序显示TAZ基因存在一个错义突变(c.406C>T,p.Cys136Arg),突变来自患儿母亲。结论 扩 充了中国BTHS的基因突变谱及临床特征。

关键词: Barth综合征; 心力衰竭; TAZ基因

Abstract: Objective To explore the clinical manifestations and genetic characteristics of Barth syndrome (BTHS). Method The clinical data of BTHS in a child were retrospectively analyzed. Results A 10-month-old boy had the main manifestations of left ventricular enlargement, fulminant myocarditis, heart failure, muscle weakness, mononucleosis, hypoglycemia, lactic acidosis, diarrhea and facial abnormalities. Gene sequencing revealed a missense mutation in TAZ gene (c.406C>T, p.Cys136Arg), which came from his mother. Conclusion The gene mutation spectrum and clinical characteristics of BTHS in China were expanded.

Key words:  Barth syndrome; heart failure; TAZ gene