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  • 文章类型: Case Reports
    淀粉样变是一种浸润性疾病,淀粉样纤维沉积在肾脏等器官中,肝脏和脾脏。肾脏中的淀粉样蛋白沉积通常是指肾小球和肾小球系膜中的沉积,直到2008年才分离出间质淀粉样蛋白沉积并命名为“白细胞衍生的趋化素2相关的淀粉样变性”。它是临床上表现为缓慢进行性肾功能障碍和/或蛋白尿的进行性疾病。我们的病例34岁的肾移植受者在移植后接受了移植物活检,发现间质LECT-2淀粉样蛋白沉积。不幸的是,他在活检后出现了页面肾脏,并通过经皮引流进行了保守治疗。
    在线版本包含补充材料,可在10.1007/s12291-022-01072-6获得。
    Amyloidosis is an infiltrative disease where amyloid fibrils get deposited in the organs like kidney, liver and spleen. Amyloid deposition in the kidneys classically meant deposition in the glomeruli and mesangium until 2008 when interstitial amyloid deposits were isolated and named as` Leukocyte cell-derived chemotaxin 2-associated amyloidosis. It is a progressive disease which clinically manifests as slowly progressive renal dysfunction and/or proteinuria. Our case 34 year old renal transplant recipient underwent graft biopsy post transplantation which revealed interstitial LECT-2 amyloid deposits. Unfortunately, he developed page kidney post biopsy which was managed conservatively with percutaneous drainage.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s12291-022-01072-6.
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  • 文章类型: Case Reports
    先天性糖基化障碍(CDG)是越来越多的遗传性代谢障碍,其中糖脂和/或糖蛋白的形成或加工中的酶缺陷导致多种不同的疾病。GDP-Man的缺乏:GlcNAc2-PP-dolichol甘露糖基转移酶,由来自酵母的ALG1的人类直系同源物编码,被称为ALG1-CDG(CDG-Ik)。表型,1例严重影响的ALG1-CDG患者的分子和生化分析是本文的重点。病人的主要症状是喂养问题和腹泻,深度低蛋白血症伴有大量腹水,肌张力增高,难以治疗的癫痫发作,反复发作的呼吸暂停,心脏和肝脏受累和凝血异常。在患者的ALG1编码序列中检测到突变c.1145T>C(M382T)和c.1312C>T(R438W)的复合杂合性。与先前报道的对R438W的推测相反,我们证实了这两种突变在ALG1-CDG中是致病的。
    Congenital disorders of glycosylation (CDG) are a growing group of inherited metabolic disorders where enzymatic defects in the formation or processing of glycolipids and/or glycoproteins lead to variety of different diseases. The deficiency of GDP-Man:GlcNAc2-PP-dolichol mannosyltransferase, encoded by the human ortholog of ALG1 from yeast, is known as ALG1-CDG (CDG-Ik). The phenotypical, molecular and biochemical analysis of a severely affected ALG1-CDG patient is the focus of this paper. The patient\'s main symptoms were feeding problems and diarrhea, profound hypoproteinemia with massive ascites, muscular hypertonia, seizures refractory to treatment, recurrent episodes of apnoea, cardiac and hepatic involvement and coagulation anomalies. Compound heterozygosity for the mutations c.1145T>C (M382T) and c.1312C>T (R438W) was detected in the patient\'s ALG1-coding sequence. In contrast to a previously reported speculation on R438W we confirmed both mutations as disease-causing in ALG1-CDG.
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