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Gilbert综合征11例临床分析

An analysis of 11 cases with Gilbert′s syndrome
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摘要 目的总结Gilbert综合征(GS)的临床特点、诊断和治疗。方法回顾性分析11例GS患者的临床、实验室检查、肝组织病理以及胆红素-尿嘧啶二磷酸葡萄糖醛酸转移酶(UGT)基因的检测资料。结果 11例GS患者中,有皮肤、巩膜黄染9例,无自觉症状4例,纳差伴乏力7例,右上腹不适5例,恶心呕吐2例。20岁以前发病患者的平均总胆红素(TBil)和间接胆红素(IBil)分别为123.85μmol/L和52.74μmol/L,均高于20-40岁发病者的111.85μmol/L和41.83μmol/L(P<0.05)。对1例患者行基因测序,其UGT1A1基因1号外显子存在686C>A杂合突变。结论GS患者表现为慢性反复轻度升高的IBil,临床症状轻微。临床诊断无特异性方法,UGT1A1基因检测对于GS的诊断、治疗和遗传咨询具有重要意义。 Objective To analyze the clinical and pathological characteristics, diagnosis and treatment of Gilbert's syndrome. Methods Data of clinical material, laboratory tests, pathology of liver tissues and UGTIA1 gene analysis from 11 patients with Gilbert's syndrome were analyzed retrospectively. Results Of 11 patients, skin yellow sclera was seen in 9 cases, non-conscious disorder in 4 cases, anorexia accompanied by fatigue in 7 cases, right upper quadrant discomfort in 5 cases, nausea and vomiting in 2 cases. The values of TBil and IBil in the patients younger than 20 year old were 123.85 tLmol/L and 52. 74 t^mol/L, respectively, which were significantly higher than 111.85 t^mol/L and 41.83 tLmol/L in those elder than 20 year old(P^0. 05). One patient underwent gene sequencing, which showed that the heterozygous mutation of UGTIA1 exon gene 686 C~ A exists. Conclusion The patients with Gilbert's syndrome show a chronic recurrent mildly elevated indirect bilirubinemia with some mild clinical symptoms. There is no specific method for the diagnose of Gilbert's syndrome. The UGTIA1 gene sequencing is valuable in the diagnosis, treatment and genetic counseling for Gilbert's syndrome.
出处 《江苏医药》 CAS 北大核心 2014年第17期2001-2003,共3页 Jiangsu Medical Journal
基金 江苏省卫生厅医学创新团队基金(LJ201121) "艾滋病和病毒性肝炎等重大传染病防治"科技重大专项(2013ZX10002005-002-005)
关键词 GILBERT综合征 Gilbert's syndrome
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参考文献7

  • 1朱俊乐,施斌.Gilbert综合征的研究现状[J].临床肝胆病杂志,2011,27(1):110-112. 被引量:11
  • 2Maruhashi T,Soga J,Fujimura N,et al.Hyperbilirubinemia,augmentation of endothelial function,and decrease in oxidative stress in Gilbert syndrome[J].Circulation,2012,126(5):598-603.
  • 3Fretzayas A,Moustaki M,Liapi O,et al.Gilbert syndrome[J].Eur J Pediatr,2012,171(1):11-15.
  • 4尹洪竹,刘英辉.Gilbert综合征96例临床分析[J].临床肝胆病杂志,2011,27(10):1084-1086. 被引量:8
  • 5Canu G,Minucci A,Zuppi C,et al.Gilbert and Crigler Najjar syndromes:an update of the UDP-glucuronosyltransferase1A1(UGT1A1)gene mutation database[J].Blood Cells Mol Dis,2013,50(4):273-280.
  • 6Tintos-Hernandez JA,Perea FJ,Ibarra B,et al.Wayward effect of polymorphism(TA)8in the promoter region of UGT1A1gene in a Mexican family[J].West Indian Med J,2012,61(1):81-83.
  • 7叶进,吴创炎.UGT1A1~* 28与遗传性非结合性高胆红素血症--Gilbert综合征[J].中西医结合肝病杂志,2013,23(1):1-3. 被引量:1

二级参考文献33

  • 1Shabana Farheen,Sanghamitra Sengupta,Amal Santra,Suparna Pal,Gopal Krishna Dhali,Meenakshi Chakravorty,Partha P Majumder,Abhijit Chowdhury.Gilbert's syndrome: High frequency of the (TA)_7 TAA allele in India and its interaction with a novel CAT insertion in promoter of the gene for bilirubin UDP-glucuronosyltransferase 1 gene[J].World Journal of Gastroenterology,2006,12(14):2269-2275. 被引量:29
  • 2Hsieh TY, Shiu TY, Huang SM, et al. Molecular pathogenesis of Gilbert's syndrome, decreased TATA- binding protein binding affinity of UGT1A1 gene promoter [ J ]. Pharmacogenet Genomics, 2007, 17(4) ;229 -236.
  • 3Fabris L, Cadamuro M, Okolicsanyi L. The patient presenting with isolated hyperbilirubinemia [ J]. Dig Liver Dis, 2009.41 (6) 375-381.
  • 4Minuk GY, Greenberg R, Uhanova J, et al. Bone mineral densities in individuals with Gilbert's syndrome, a cross - sectional, case - control pilot study [ J ]. Can J Gastroenterol, 2009, 23(6).. 431 -436.
  • 5Ellis E, Wagner M, Lammert F, et al. Successful treatment of severe unconjugated hyperbilirubinemia via induction of UGT1A1 by rifampicin[J]. J Hepatol, 2006, 44( 1 ): 243 - 245.
  • 6GILBERT A,LEREBOULLET P. La cholemie simple familiale[J].Semaine Med,1901.241.
  • 7MEULENGRACHT E. Icterus interminus juvenilis[J].Klin Wchnschr,1939.118.
  • 8SCHMID R. Gilbert's syndrome-a legitimate genetic anomaly[J].New England Journal of Medicine,1995.1217-1218.
  • 9HIRSCHFIELD GM,ALEXANDER JG. Gilbert's syndrome:an overview for clinical biochemists[J].Annals of Clinical Biochemistry,2006.340-343.
  • 10GONG QH,CHO JW,HUANG T. Thirteen UDP-glucuronosyltransferase genes are encoded at the human UGT1 gene complex locus[J].Pharmacogenetics,2001.357-368.

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