天津医药 ›› 2020, Vol. 48 ›› Issue (9): 891-893.doi: 10.11958/20193898

• 病例报告 • 上一篇    下一篇

伴脊髓损伤的晚发型戊二酸尿症Ⅱ型合并家族性高胆固醇血症一例报告#br#

徐刚1,赵澎1△,蔡春泉2   

  1. 1天津市儿童医院康复科(邮编300400),2神经外科
  • 收稿日期:2019-12-25 修回日期:2020-04-09 出版日期:2020-09-15 发布日期:2020-09-22
  • 通讯作者: 赵澎 E-mail:patrickzhao@163.com

Late-onset glutaric aciduria type Ⅱ combined with spinal cord injury with familial hypercholesterolemia: a case report

XU Gang1, ZHAO Peng1△, CAI Chun-quan2   

  1. 1 Rehabilitation Branch, 2 Department of Neurosurgery, Tianjin Children’ Hospital, Tianjin 300400, China
  • Received:2019-12-25 Revised:2020-04-09 Published:2020-09-15 Online:2020-09-22

摘要: 摘要:戊二酸尿症Ⅱ型是一种影响脂肪酸、氨基酸和胆碱代谢的常染色体隐性遗传病,是引起脂质沉积病的重要病因。该病儿童少见,临床医生认识不足,易误诊、漏诊。伴腹痛、脊髓损伤的晚发型戊二酸尿症Ⅱ型更为罕见。本文对1例伴腹痛、脊髓损伤的晚发型戊二酸尿症Ⅱ型合并家族性高胆固醇血症的患儿进行回顾性分析。早期进行血脂、尿有机酸和基因检测对患儿的诊治及提高生活质量有重要意义。

关键词: 多酰基辅酶A脱氢酶缺乏;脊髓损伤;高胆固醇血症Ⅱ型;腹痛;受体, LDL;电子转运黄素蛋白脱氢酶

Abstract: Abstract: Glutaric aciduria type Ⅱ is an autosomal recessive disease that affects the metabolism of fatty acids, amino acids and choline, and is an important molecular cause of lipid deposition disease. Children with this disease are rare, and clinicians lack awareness, easy to misdiagnose or miss diagnosis. Late-onset glutaruria type Ⅱ with abdominal pain and spinal cord injury is rarer. This case report describes a retrospective analysis of a child with late-onset glutaric aciduria type Ⅱ and familial hypercholesterolemia with abdominal pain and spinal cord injury. Blood lipid, urine organic acid test and genetic testing early are of great significance for the diagnosis and treatment of children and improve their quality of life. 

Key words: multiple acyl coenzyme A dehydrogenase deficiency, spinal cord injuries, hyperlipoproteinemia type Ⅱ, abdominal pain, receptors, LDL, electron transfer flavoprotein dehydrogenase

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