基础医学与临床 ›› 2017, Vol. 37 ›› Issue (1): 103-106.

• 临床园地 • 上一篇    下一篇

肺泡微石症1例

杨莹韵1,梁帅2,朱文佳1,孟云霄3,罗金梅1   

  1. 1. 中国医学科学院北京协和医院
    2. 北京协和医院
    3. 北京协和医院病理科
  • 收稿日期:2016-10-12 修回日期:2016-11-19 出版日期:2017-01-05 发布日期:2016-12-30
  • 通讯作者: 罗金梅 E-mail:palmljm@126.com
  • 基金资助:
    国家自然科学基金面上项目;国家自然科学基金面上项目

A case report of pulmonary alveolar microlithiasis

  • Received:2016-10-12 Revised:2016-11-19 Online:2017-01-05 Published:2016-12-30
  • Supported by:
    the National Natural Science Foundation of China;the National Natural Science Foundation of China

摘要: 目的 报道1例北京协和医院诊治的肺泡微石症病例,并总结该病的临床表现和遗传学特点。方法 报道本例的临床表现、影像学表现表现以及SLC34A2基因扩增及测序结果分析突变类型。结果 患者为35岁男性,以咳嗽、咳痰起病,逐渐气短,胸部CT、支气管肺泡灌洗液及肺病变组织病理均符合肺泡微石症病理表现,基因检测发现SLC34A2基因第8外显子纯合子突变(c.A910T)。结论 肺泡微石症是一种罕见的遗传性疾病,临床表现不特异,但有着典型的影像学表现。我们发现外显子8的c.910A>T(Lys304Ter)突变在亚洲人群中最为常见,可能为我们日后的基因筛查或基因治疗提供了潜在的靶点。

关键词: 肺泡微石症, SLC34A2 基因

Abstract: Objective To report a case of pulmonary alveolar microlithiasis(PAM) in PUMCH and to summarize the clinical features and genetic characters. Methods The clinical features, imaging results, pathology findings and SLC34A2 gene mutation was analyzed and reported. Results The patient was a 35 years old male, presenting with cough and sputum for 10 years and worsen with short of breath for 3 weeks. Computed tomography of lung and pathology findings support the diagnose of pulmonary alveolar microlithiasis. And a heterozygous mutation c. A910T in exon 8 of SLE34A2 gene was discovered through genetic testing. Conclusion Due to the treatment is non-specific in this rare disease, it’s significantly important to recognize this disease through early non-specific clinical features but typical imaging findings. And the finding that c. A910T is more common in Asia population may provide us a potential target for screening and possible genetic engineering therapy.

Key words: pulmonary alveolar microlithiasis, SLC34A2 gene

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