Three Consecutive Cases of Familial Hemophagocytic Lymphohistiocytosis, Including a Case Due to Maternal Uniparental Disomy.

Three Consecutive Cases of Familial Hemophagocytic Lymphohistiocytosis, Including a Case Due to Maternal Uniparental Disomy.
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家族性噬血细胞性淋巴组织细胞增多症连续三例,其中包括一例因母亲单亲二体性所致的病例。

DOI:
10.1097/mph.0000000000001681
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发表时间:
2019
期刊:
J Pediatr Hematol Oncol.
影响因子:
--
通讯作者:
Mitsui T.
Mitsui T.
中科院分区:
--
文献类型:
--
作者:
2.Sato H;Kawasaki N;Kawasaki M;Abiko Y;Meguro T;Takahashi N;Izumino H;Kanno M;Numakura C;Sasaki A;Imamura T;Taki T;Mitsui T.

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我们连续经历了 3 例家族性噬血细胞性淋巴组织细胞增多症 (FHL)。所有受影响的婴儿的穿孔素基因外显子 3 均发生突变。第一个有纯合突变,c。 1168C> T (p. R390*),由母体单亲异构引起。第二个和第三个具有复合杂合突变:c. 781G> A(第 E261K 页)和 c。 1491T> A(第 C497*); c. 1724G> T(第 C242G 页)和第 1724G 页。分别为 R390*。 FHL 在日本北部非常罕见,但如果婴儿表现出长时间发烧,则应怀疑。这是 p 关系的第一份报告。 R390* 患有由单亲二倍体引起的 FHL,这是第二例报道的具有这种遗传形式的 2 型 FHL 病例。
We have experienced 3 consecutive cases of familial hemophagocytic lymphohistiocytosis (FHL). All affected infants had mutations in exon 3 of the perforin gene. The first had a homozygous mutation, c. 1168C> T (p. R390*), caused by maternal uniparental isodisomy. The second and third had compound heterozygous mutations: c. 781G> A (p. E261K) and c. 1491T> A (p. C497*); c. 1724G> T (p. C242G) and p. R390*, respectively. FHL is very rare in Northern Japan but should be suspected if infants exhibit prolonged fever. This is the first report of a relationship of p. R390* with FHL caused by uniparental isodisomy, and the second reported case of FHL type 2 with this form of inheritance.
以色列家族性噬血细胞性淋巴组织细胞增多症 (FHLH) I. 11 名伊朗-伊拉克裔患者的描述及文献综述
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