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首页> 外文期刊>Romanian Journal of Laboratory Medicine >Hypouricemia - the simple key towards diagnosis in a case of purine nucleoside phosphorylase deficiency, a rare and severe disease /Hipouricemia - cheia c?tre diagnosticul unui caz de deficit de purin nucleozid fosforilaz?, o boal? rar? si sever?
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Hypouricemia - the simple key towards diagnosis in a case of purine nucleoside phosphorylase deficiency, a rare and severe disease /Hipouricemia - cheia c?tre diagnosticul unui caz de deficit de purin nucleozid fosforilaz?, o boal? rar? si sever?

机译:低尿酸血症-嘌呤核苷磷酸化酶缺乏症(一种罕见而严重的疾病)诊断的简单关键/低尿酸血症-诊断嘌呤核苷磷酸化酶缺乏症(一种疾病)的关键?很少?你严厉吗

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We describe the case of a 15 month old boy, investigated for repeated and prolonged infections, associated to progressive neurological impairment. Immunological work-up found low immunoglobulin levels and decreased numbers of T and B lymphocytes, with a T-B-NK+ phenotype. Imaging showed lack of thymus and cerebral cortex atrophy. The key towards the diagnosis was plasma uric acid determination: hypouricemia suggested purine nucleoside phosphorylase deficiency, a very rare disease, with only 67 reported cases worldwide. Diagnosis was confirmed by enzyme activity measured using a radioisotopic method.
机译:我们描述了一个15个月大男孩的案例,该男孩调查了与进行性神经系统损害相关的反复和长期感染。免疫学检查发现免疫球蛋白水平低,T和B淋巴细胞数量减少,具有T-B-NK +表型。影像学检查显示缺乏胸腺和大脑皮质萎缩。诊断的关键是血浆尿酸的测定:低尿酸血症提示嘌呤核苷磷酸化酶缺乏症,这是一种非常罕见的疾病,全世界仅报告67例。通过使用放射性同位素方法测量的酶活性来确认诊断。

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