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发育医学电子杂志  2025, Vol. 13 Issue (1): 62-65    DOI: 10.3969/j.issn.2095-5340.2025.01.009
  临床遗传   病例报告 |
PEX1 基因突变导致的Zellweger 谱系障碍1 例并文献复习
刘苏颖 麻宏伟
中国医科大学附属盛京医院 发育儿科,辽宁 沈阳 110000
A case of Zellweger spectrum disorder caused by PEX1 gene mutation and literature review
Liu Suying, Ma Hongwei 
(Department of Developmental Pediatrics, Shengjing Hospital of China Medical University, Liaoning, Shenyang 110000, China)
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输出:  BibTeX | EndNote (RIS)      
摘要 【摘要】 本文报道1 例7 月25 d 女性患儿,以互动反应差就诊,伴发育迟缓、喂养困难、肌张力低、听力异常、特殊面容。实验室检查显示,转氨酶和胆汁酸显著升高,高通量测序全外显子检查提示过氧化物酶
1(peroxidase 1,PEX1)基因复合杂合突变,血清极长链脂肪酸升高,结合患儿临床表现诊断为Zellweger
谱系障碍(Zellweger spectrum disorder,ZSD),给予熊去氧胆酸治疗、康复训练等对症处理。通过报道本例PEX1 基因突变致ZSD 患儿,结合文献复习对该病的临床特征、诊疗方法等进行归纳总结,以提高对
该病的认识。
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关键词:  发育迟缓  肌张力低  过氧化物酶1 基因  Zellweger 谱系障碍    
Abstract: 【Abstract】A case of 7 month and 25 days female child was reported in this article. The patient was treatedfor poor interaction response, accompanied by developmental delay, feeding difficulties, hypotonia, abnormalhearing, and special facial features. Laboratory tests showed significant increases in transaminase and bileacids, high-throughput whole exon tests showed complex heterozygous mutations of peroxidase (PEX1) gene,and serum very-long-chain fatty acids were elevated. Zellweger spectrum disorder (ZSD) was diagnosed according to the clinical manifestations of the child. Ursodeoxycholic acid treatment was given, and treatment such as rehabilitation training was suggested. By reporting this case of a child with ZSD caused by PEX1 gene mutation and reviewing relevant literature, the clinical characteristics, diagnosis and treatment methods of the disease were summarized to improve the understanding of the disease.  
Key words:  Developmental delay    Hypotonia    Peroxidase 1 gene    Zellweger spectrum disorder
收稿日期:  2024-06-06                     发布日期:  2025-01-26     
通讯作者:  麻宏伟    E-mail:  mahongwei1960@163.com
引用本文:    
刘苏颖 麻宏伟. PEX1 基因突变导致的Zellweger 谱系障碍1 例并文献复习[J]. 发育医学电子杂志, 2025, 13(1): 62-65.
Liu Suying, Ma Hongwei . A case of Zellweger spectrum disorder caused by PEX1 gene mutation and literature review. Journal of Developmental Medicine(Electronic Version), 2025, 13(1): 62-65.
链接本文:  
http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2025.01.009  或          http://www.fyyxzz.com/CN/Y2025/V13/I1/62
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[2] 吴丹丹 李晓南. 神经发育障碍儿童的饮食行为问题和对策[J]. 发育医学电子杂志, 2019, 7(2): 90-94, 99.
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