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以胆汁淤积性肝病为首发表现的X-连锁淋巴细胞异常增生症2型1例报告

周方 李小芹 王瑞锋 孙波

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Citation:

以胆汁淤积性肝病为首发表现的X-连锁淋巴细胞异常增生症2型1例报告

DOI: 10.3969/j.issn.1001-5256.2019.08.034
基金项目: 

河南省科技攻关项目(201503234); 

详细信息
  • 中图分类号: R725.9

X-linked lymphoproliferative disease type 2 with cholestatic liver disease as initial manifestation: A case report

Research funding: 

 

  • 摘要: <正>X-连锁淋巴细胞异常增生症(X-linked lymphoproliferative disease,XLP)是一种罕见的X连锁隐性联合免疫缺陷性疾病,男性发病,女性为携带者,XLP的发病率为百万分之一[1]。该病目前病因及发病机制未明,认为可能为遗传易感基因、免疫功能紊乱、环境及感染因素共同导致。XLP患儿的临床表现多样,早期诊断较为困难,大多数该病患者死于儿童期。根据其致病基因的不同,分为两型:XLP-1型和XLP-2型。XLP-2型发病率低,仅占17%。现对河南省儿童医院收治的1例以胆汁淤积性肝病为首发表现的XLP-2型患儿的临床和实

     

  • [1] SANKARARAMAN S, RIEL-ROMERO RM, JEROUDI M, et al. Epstein-Barr virus induced hemophagocytic lymphohistiocytosis in X-linked lymphoproliferative disease[J]. J Neurosci Rural Pract, 2014, 5 (2) :171-174.
    [2] GIFFORD CE, WEINGARTNER E, VILLANUEVA J, et al. Clinical flow cytometric screening of SAP and XIAP expression accurately identifies patients with SH2D1A and XIAP/BIRC4 mutations[J].Cytometry B Clin Cytom, 2014, 86 (4) :263-271.
    [3] HU HL, CHEN HY, HU B, et al. Clinical features and gene mutation analysis of 4 Chinese children with X-linked lymphoproliferative disease[J]. Chin J Appl Clin Pediatr, 2013, 28 (21) :1629-1632. (in Chinese) 胡惠丽, 陈荷英, 胡冰, 等. X-连锁淋巴细胞异常增生症4例临床特点与基因突变分析[J].中华实用儿科临床杂志, 2013, 28 (21) :1629-1632.
    [4] RIGAUD S, FONDANECHE MC, LAMBERT N, et al. XIAP deficiency in humans causes an X-linked lymphoproliferative syndrome[J]. Nature, 2006, 444 (7115) :110-114.
    [5] MARSH RA, VILLANUEVA J, ZHANG K, et al. A rapid flow cytometric screening test for X-linked lymphoproliferative disease due to XIAP deficiency[J]. Cytometry B Clin Cytom, 2009, 76 (5) :334-344.
    [6] WANG JF, YAN Y. Research progress of inhibitor of apoptosis protein Xl AP[J]. Med Recapitulate, 2013, 19 (21) :3865-3867. (in Chinese) 王俊丰, 闫勇. X染色体连锁凋亡抑制蛋白的研究进展[J].医学综述, 2013, 19 (21) :3865-3867.
    [7] AQUILAR C, LATOUR S. X-linked inhibitor of apoptosis protein deficiency:More than an X-linked lymphoproliferative syndrome[J]. J Clin Immunol, 2015, 35 (4) :331-338.
    [8] REZAEI N, MAHMOUDI E, AGHAMOHAMMADI A, et al. Xlinked lymphoproliferative syndrome:A genetic condition typified by the triad of infection, immunodeficiency and lymphoma[J]. Br J Haematol, 2011, 152 (1) :13-30.
    [9] NAGY N, KLEIN G, KLEIN E. To the genesis of Burkitt lymphoma:Regulation of apoptosis by EBNA-1 and SAP may determine the fate of Ig-myc translocation carrying B lymphocytes[J]. Semin Cancer Biol, 2009, 19 (6) :407-410.
    [10] SCHMID JP, CANIONI D, MOSHOUS D, et al. Clinical similarities and differences of patients with X-linked lymphoproliferative syndrome type 1 (XLP-1/SAP deficiency) versus type 2 (XLP-2/XIAP deficiency) [J]. Blood, 2011, 117 (5) :1522-1529.
    [11] ZHAO M, KANEGANE H, OUCHI K, et al. A novel XIAP mutation in a Japanese boy with recurrent pancytopenia and splenomegaly[J]. Haematologica, 2010, 95 (4) :688-689.
    [12] MARSH RA, MADDEN L, KITCHEN BJ, et al. XIAP deficiency:A unique primary immunodeficiency best classified as Xlinked familial hemophagocytic lymphohistiocytosis and not as X-linked lymphoproliferative disease[J]. Blood, 2010, 116 (7) :1079-1082.
    [13] CHIRIELEISON SM, MARSH RA, KUMAR P, et al. Nucleotide-binding oligomerization domain (NOD) signaling defects and cell death susceptibility cannot be uncoupled in X-linked inhibitor of apoptosis (XIAP) -driven inflammatory disease[J]. J Biol Chem, 2017, 292 (23) :9666-9679.
    [14] SCHIMMER AD, DALILI S, BATEY RA, et al. Targeting XIAP for the treatment of malignancy[J]. Cell Death Differ, 2006, 13 (2) :179-188.
    [15] JIN YY, ZHOU W, TIAN ZQ, et al. Variable clinical phenotypes of X-linked lymphoproliferative syndrome in China:Report of five cases with three novel mutations and review of the literature[J]. Hum Immunol, 2016, 77 (8) :658-666.
    [16] LI WY, CHEN JS, ZHAO Q, et al. Two families of X-linked lymphoproliferative disease type 1 characterized by agammaglobulinemia[J]. Chin J Pediatr, 2017, 55 (5) :377-382. (in Chinese) 李文言, 陈金淑, 赵芹, 等.以丙种球蛋白缺乏血症为突出表现的X连锁淋巴细胞异常增生症1型两家系研究[J].中华儿科杂志, 2017, 55 (5) :377-382.
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  • 出版日期:  2019-08-20
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