Three Chinese children with Niemann-Pick disease type C with neonatal cholestasis as initial presentation

OBJECTIVE: To analyze the clinical characteristics of three Chinese cases of Niemann-Pick disease type C patients with neonatal cholestasis as initial presentation, and enhance awareness of Niemann-Pick disease type C among pediatricians

Bibliographische Detailangaben
Veröffentlicht in:Zhonghua er ke za zhi = Chinese journal of pediatrics. - 1960. - 53(2015), 1 vom: 09. Jan., Seite 57-61
1. Verfasser: Yang, Rui (VerfasserIn)
Weitere Verfasser: Tan, Dongqiong, Wang, Yu, Ye, Jun, Han, Lianshu, Qiu, Wenjuan, Gu, Xuefan, Zhang, Huiwen
Format: Aufsatz
Sprache:Chinese
Veröffentlicht: 2015
Zugriff auf das übergeordnete Werk:Zhonghua er ke za zhi = Chinese journal of pediatrics
Schlagworte:Journal Article Bile Acids and Salts Lipoproteins, HDL Bilirubin RFM9X3LJ49
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245 1 0 |a Three Chinese children with Niemann-Pick disease type C with neonatal cholestasis as initial presentation 
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500 |a Citation Status MEDLINE 
520 |a OBJECTIVE: To analyze the clinical characteristics of three Chinese cases of Niemann-Pick disease type C patients with neonatal cholestasis as initial presentation, and enhance awareness of Niemann-Pick disease type C among pediatricians 
520 |a METHOD: Three sporadic cases with confirmed Niemann-Pick disease type C initially presented as neonatal cholestasis were retrospectively reviewed in this study. Their peripheral blood specimens were collected after obtaining informed consent. All exons and the intron-exon boundaries of NPC1 gene were examined by bi-directional sequencing 
520 |a RESULT: Three patients, 1 female and 2 males, aged from 2 months to 5 years and 10 months, all first complained of jaundice in the neonatal period. Laboratory tests showed total bilirubin and direct bilirubin significantly increased with predominant increase of direct bilirubin. Total bile acid, aspartate aminotransferase (AST), and alanine aminotransferase (ALT) were also increased, while high-density lipoprotein cholesterol decreased. All patients were also accompanied by hepatosplenomegaly, with two of them having increased bronchovascular markings in chest X-ray. Two heterozygous changes of NPC1 gene, c.2741G>T +c.3020C>G (p. C914F + p. P1007R), c.2177G>C + c.3734_ 3735delCT (p.R726T + p. P1245RfsX12), and c.2054T>C + c.2128C>T(p.I685T + p.Q710X), were identified in patient 1, 2 and 3, respectively 
520 |a CONCLUSION: We reported three cases suffered from Niemann-Pick disease type C with initial presentation as neonatal cholestasis in the mainland of China. For newborns with prolonged jaundice in the neonatal period, as well as neonatal cholestasis, hepatosplenomegaly, Niemann-Pick type C should be included in consideration of differential diagnosis. Genetic testing can identify causative mutations for diagnosis 
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650 7 |a Bile Acids and Salts  |2 NLM 
650 7 |a Lipoproteins, HDL  |2 NLM 
650 7 |a Bilirubin  |2 NLM 
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700 1 |a Tan, Dongqiong  |e verfasserin  |4 aut 
700 1 |a Wang, Yu  |e verfasserin  |4 aut 
700 1 |a Ye, Jun  |e verfasserin  |4 aut 
700 1 |a Han, Lianshu  |e verfasserin  |4 aut 
700 1 |a Qiu, Wenjuan  |e verfasserin  |4 aut 
700 1 |a Gu, Xuefan  |e verfasserin  |4 aut 
700 1 |a Zhang, Huiwen  |e verfasserin  |4 aut 
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