国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (3): 498-500.DOI: 10.3760/cma.j.cn441417-20240704-03030

• 病例报告 • 上一篇    下一篇

儿童法布雷病1例

刘玉洁  靳云凤  赵公平  魏磊  曹广海  张书锋  田明  刘翠华   

  1. 郑州大学附属儿童医院 河南省儿童医院 郑州儿童医院肾脏风湿免疫科 郑州市儿童肾脏病研究重点实验室,郑州 450000

  • 收稿日期:2024-07-04 出版日期:2025-02-01 发布日期:2025-02-22
  • 通讯作者: 刘翠华,Email:lchlch123@126.com
  • 基金资助:

    河南省医学科技攻关计划联合共建项目(LHGJ20210624)

A case of Fabry disease in children

Liu Yujie, Jin Yunfeng, Zhao Gongping, Wei Lei, Cao Guanghai, Zhang Shufeng, Tian Ming, Liu Cuihua   

  1. Department of Nephrology and Rheumatology, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou Key Laboratory of Pediatric Kidney Disease Research, Zhengzhou 450000, China

  • Received:2024-07-04 Online:2025-02-01 Published:2025-02-22
  • Contact: Liu Cuihua, Email: lchlch123@126.com
  • Supported by:

    Henan Medical Science and Technology Joint Project (LHGJ20210624)

摘要:

患儿女,2011年10月出生,2020年12月开始出现双手、双足末端疼痛,且于活动后及发热时疼痛加重,病程中间断耳鸣,可自行缓解,于2024年1月至河南省儿童医院住院治疗,追问家族史:母亲学龄期有间断手足疼痛史,不剧烈,可耐受,未特殊治疗;舅舅因扩张型心肌病于32岁去世;姥姥常年腹痛、腹泻病史;一表姐同样于发热时指端疼痛症状显著。结合特殊症状及阳性家族史,完善患儿及母亲法布雷病生物标志物、α-半乳糖苷酶A及相关基因检测,两人均确诊法布雷病。患儿规律应用酶替代治疗,母亲行基因治疗准备。治疗后患儿指/趾端疼痛较前好转,耳鸣未再发生,目前长期规律随访中。

关键词:

法布雷病, α-半乳糖苷酶A, 酶替代治疗, 儿童

Abstract:

The patient, a girl who was born in October 2011, began experiencing pain in her hands and feet toes since December 2020, with the pain worsening with activity and fever. The course was interrupted by tinnitus, which could resolve spontaneously. She was hospitalized at Henan Children's Hospital in January 2024 for treatment. Her mother had an intermittent hand and foot pain history during her school-age years; her uncle passed away at the age of 32 due to dilated cardiomyopathy; her grandmother had a long-term history of abdominal pain and diarrhea; one of her cousins also had symptoms of pain with fever. Considering the specific symptoms and positive family history, the biomarkers of Fabry disease, α-galactosidase A, and related genes of the girl and her mother were tested to confirm Fabry disease. The girl received enzyme replacement therapy, and her mother underwent gene therapy preparation. At present, the girl's pain symptoms and tinnitus were relieved, and she was undergoing long-term follow-up.

Key words:

Fabry disease, Alpha-galactosidase A, Enzyme replacement therapy, Children