临床儿科杂志 ›› 2019, Vol. 37 ›› Issue (2): 141-.doi: 10.3969/j.issn.1000-3606.2019.02.016

• 综合报道 • 上一篇    下一篇

合并肾囊性病变儿童1型Dent病1例报告

张宏文 , 苏白鸽, 徐可, 王芳, 刘晓宇, 肖慧捷, 姚勇   

  1. 北京大学第一医院儿科(北京 100034)
  • 出版日期:2019-02-15 发布日期:2019-02-26
  • 通讯作者: 姚勇 电子信箱:yaoyong3238@126.com

Dent disease combined with renal cystic disease: report of one case and review of the literature

 ZHANG Hongwen, SU Baige, XU Ke, WANG Fang, LIU Xiaoyu, XIAO Huijie, YAO Yong   

  1. Department of Paediatrics, Peking University First Hospital, Beijing 100034, China
  • Online:2019-02-15 Published:2019-02-26

摘要:  目的 探讨儿童Dent病1型合并肾囊性病变的可能发病原因。方法 回顾1例16岁男性肾囊性病变患儿 的临床资料,并复习相关文献。结果 患儿发现蛋白尿、双肾多发囊肿4年,肾功能异常3年,临床主要表现为肾病水平 的小分子蛋白尿、高钙尿症、肾功能异常并进行性加重、双肾多发囊肿、低钾血症。肾脏病理为局灶节段性肾小球硬化 伴肾小管间质损伤。CLCN5基因突变分析示c.1975delC(p.R659Gfs*7),NPHP相关基因未见突变。诊断为Dent病1 型合并肾囊性病变、慢性肾脏病。结论 Dent病1型合并肾囊性病变较为罕见,其确切机制尚不清楚。

关键词: Dent病; 肾囊性病变; 低钾血症; 儿童

Abstract: Objective To explore the possible mechanism in childhood Dent disease combined with renal cystic disease. Methods Clinical data were collected and analyzed from 1 childhood Dent disease cases combined with renal cystic disease. Results The case presented with nephrotic level low-molecular weight proteinuria, hypercalciuria, progressive renal failure, multiple cysts in both kidney and hypopotassemia. Renal biopsy showed focal segmental glomerulosclerosis combined with tubulointerstitial damage. Gene mutation analysis showed a hemizygous mutation (c.1975delC, p.R659Gfs*7) in CLCN5 gene, and no positive result on nephronophthisis related genes was found. Conclusions Dent disease combined with renal cystic disease is a rare phenomenon, with reasons unknown.

Key words: Dent disease; renal cystic disease; hypopotassemia; child