2岁女童纯合子高铁血红蛋白血症病程

Marina S. Malyugina, D. A. Lavrova, Ekaterina A. Matveeva
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引用次数: 0

摘要

背景。高铁血红蛋白血症是由多种因素引起的血液中高铁血红蛋白(MetHb)含量高于生理标准的一组疾病。临床病例描述。高铁血红蛋白血症的临床病例是一个偶然发现在两岁的女孩谁是在诊所由于头部受伤提出。我们的检查显示细胞色素b5还原酶的活性为零。这一事实表明纯合突变。抗坏血酸疗程(250 mg/d)可减轻发绀和缺氧。当排除其最常见的原因时,应提高对长期孤立紫绀的警觉性。及时处理可预防严重并发症的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Homozygous Methemoglobinemia Course in a 2-Year-Old Girl
Background. Methemoglobinemia is a group of diseases caused by various factors where methemoglobin (MetHb) content in the blood increases above the physiological norm.Clinical case description. Clinical case of methemoglobinemia that was an incidental finding in two-year-old girl who was in the clinic due to the head injury is presented. Our examinations have revealed zero activity of cytochrome-b5-reductase enzyme. This fact indicates homozygous mutation. The cyanosis and hypoxia were relieved by ascorbic acid courses (250 mg/day).Conclusion. Increased alertness regarding long-term isolated cyanosis should be presented when excluding its most common causes. Timely management could prevent severe complications development. 
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