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发育医学电子杂志  2024, Vol. 12 Issue (6): 465-468,475    DOI: 10.3969/j.issn.2095-5340.2024.06.010
  围产医学   病例报告 |新生儿 |
新生儿遗传性球形红细胞增多症ANK1基因新发突变1 例报告
张媛媛 李中原 胡晓红
(解放军总医院第四医学中心 儿科,北京 100048)
A case report of neonatal hereditary spherocytosis with a new mutation in the ANK1 gene
Zhang Yuanyuan, Li Zhongyuan, Hu Xiaohong
(Department of Pediatrics, the Fourth Medical Center of PLAGeneral Hospital, Beijing 100048, China)
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摘要 【摘要】 分析1 例新生儿遗传性球形红细胞增多症(hereditary spherocytosis, HS)的临床特点、诊疗流程及基因检测结果。该患儿皮肤黄染,外周血涂片球形红细胞比例达30%。基因测序患儿ANK1 基因有
1 个杂合突变。母亲同样位点突变,且有类似病史。该基因突变位点未被人类基因突变数据库(Human
Genetic Mutation Database,HGMD)收录,无文献报道,为新发突变。HS 临床表型无特异性,在新生儿
早期主要表现为新生儿高未结合胆红素血症,出生后1 周左右出现贫血。基因检测是发现Coombs 阴
性的新生儿和婴儿溶血性贫血病因的重要手段。
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关键词:  ANK1 基因  新发突变  遗传性球形红细胞增多症  新生儿    
Abstract: 【Abstract】To analyze the clinical features, diagnosis and treatment process, and genetic testing results
of a case diagnosed with hereditary spherocytosis (HS) in the neonatal period. The case was jaundice and
spherical red blood cells were accounting for 30% on peripheral blood smear. Gene sequencing analysis
showed that there was one heterozygous mutation in the ANK1 gene. The same site mutation was detected in her mother, and who had a similar medical history. The gene mutation site was not included in the Human Gene Mutation Database (HGMD) and had not been reported in the literature, and it was a new mutation.The clinical phenotype of HS was non-specific, and it was mainly manifested as neonatal hyperunconjugated bilirubinemia in the early neonatal period, and anemia appears about 1 week after birth. Genetic testing was an important means of detecting the cause of hemolytic anemia in Coombs-negative neonates and infants.  
Key words:  ANK1 gene    New mutations    Hereditary spherocytosis    Neonates
收稿日期:  2023-08-04                     发布日期:  2024-11-27     
通讯作者:  胡晓红    E-mail:  xhh304@163.com
引用本文:    
张媛媛 李中原 胡晓红. 新生儿遗传性球形红细胞增多症ANK1基因新发突变1 例报告[J]. 发育医学电子杂志, 2024, 12(6): 465-468,475.
Zhang Yuanyuan, Li Zhongyuan, Hu Xiaohong. A case report of neonatal hereditary spherocytosis with a new mutation in the ANK1 gene. Journal of Developmental Medicine(Electronic Version), 2024, 12(6): 465-468,475.
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http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2024.06.010  或          http://www.fyyxzz.com/CN/Y2024/V12/I6/465
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