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羧化酶合酶缺陷症

Holocarboxylase synthetase deficiency

定义 英文原文(暂无中文)

A rare, early-onset and life-threatening, multiple carboxylase deficiency that when left untreated, is characterized by vomiting, tachypnea, irritability, lethargy, exfoliative dermatitis, and seizures that can worsen to coma and death.

别名

早发性多发性羧化酶缺乏

基本事实

遗传方式
常染色体隐性
发病年龄
儿童期、婴儿期、新生儿期
患病率
1-9 / 1 000 000(Europe)

相关基因 1

基因名称关联类型
HLCSholocarboxylase synthetaseDisease-causing germline mutation(s) (loss of function) in

临床表型 20

极常见 99–80%9

  • 厌食症 HP:0002039
  • 生长延迟 HP:0001510
  • 肌张力减退 HP:0001252
  • 易激惹 HP:0000737
  • 角膜结膜炎 HP:0001096
  • 恶心和呕吐 HP:0002017
  • 口周湿疹 HP:0011127
  • 癫痫发作 HP:0001250
  • 体重减轻 HP:0001824

常见 79–30%4

  • 高氨血症 HP:0001987
  • 有机酸尿症 HP:0001992
  • 呼吸窘迫 HP:0002098
  • 呼吸过速 HP:0002789

偶见 29–5%7

  • 脱发 HP:0001596
  • 共济失调 HP:0001251
  • 昏迷 HP:0001259
  • 出生后皮肤剥脱 HP:0007549
  • 湿疹样皮炎 HP:0000964
  • 昏睡 HP:0001254
  • 血小板减少症 HP:0001873

近两年的全球研究 45L2

2024/10 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。

  • 2026-11开放获取
    Essential Oral Single Nutritional Therapy Products for Inherited Metabolic Diseases: Evidence and Consensus Assessment Using a Modified Delphi Method
    Journal of inherited metabolic disease · DOI · Europe PMC
  • 2026-08开放获取
    Newborn Screening
  • 2026-08开放获取
    The Spanish Uniform Newborn Screening Panel (SUSP): A National Consensus Framework for Harmonized Newborn Screening
    International journal of neonatal screening · DOI · Europe PMC
  • 2026-07开放获取
    Second-Tier Whole Exome Sequencing Following Abnormal Newborn Screening: Diagnostic Yield, Secondary Findings, and Carrier Burden in a Taiwanese Neonatal Cohort
    Children (Basel, Switzerland) · DOI · Europe PMC
  • 2026-07综述开放获取
    Immune Dysregulation in Branched Chain Organic Acidemias
    Journal of inherited metabolic disease · 被引 1 · DOI · Europe PMC
  • 2026-06开放获取
    Multiple Carboxylase Deficiency in an Infant Presenting With Severe Metabolic Acidosis and Sepsis-Like Features: A Case Report and Literature Review
    Clinical case reports · DOI · Europe PMC
  • 2026-06综述
    Holocarboxylase synthetase deficiency: pathogenesis, clinical features, diagnosis, treatment, and research prospects
    European journal of pediatrics · DOI · Europe PMC
  • 2026-05开放获取
    Philippine Clinical Practice Guidelines for Periodic Health Examination: Screening for Congenital and Developmental Disorders
    Acta medica Philippina · DOI · Europe PMC
  • 2026-05综述开放获取
    Natural Molecules for Brain Health and Resilience
    International journal of molecular sciences · 被引 1 · DOI · Europe PMC
  • 2026-04开放获取
    Benchmarking genetic birth prevalence estimates against newborn screening data
    American journal of human genetics · DOI · Europe PMC
  • 2026-04综述开放获取
    Carrier screening in the reproductive setting-Are there medical implications for the heterozygote?-A guide for clinicians
    Pregnancy (Hoboken, N.J.) · DOI · Europe PMC
  • 2026-03开放获取
    Current Status of Newborn Screening in Southeastern and Central Europe
    International journal of neonatal screening · 被引 2 · DOI · Europe PMC
  • 2026-03开放获取
    Two Years of Expanded Newborn Screening in Russia: High-Throughput Detection of Inherited Metabolic Disorders by Tandem Mass Spectrometry with Next-Generation Sequencing Confirmation
    International journal of neonatal screening · 被引 1 · DOI · Europe PMC
  • 2025-12开放获取
    Associations of Biotin Levels in Serum and Follicular Fluid With ICSI Success: A Cross-Sectional Study From Iraq
    Obstetrics and gynecology international · DOI · Europe PMC
  • 2025-12综述开放获取
    Expert consensus on the combined screening of genes and biomarkers for neonatal diseases
    World journal of pediatrics : WJP · DOI · Europe PMC
  • 2025-12开放获取
    Expanding carrier screening: beyond the genes, to include underrepresented ancestries
    NPJ genomic medicine · 被引 1 · DOI · Europe PMC
  • 2025-12综述开放获取
    Endocrine system disturbances in children with inherited metabolic diseases: a narrative review
    Frontiers in endocrinology · DOI · Europe PMC
  • 2025-12综述开放获取
    Incidence of Organic Acid Disorders in 13 Million Chinese Newborns: A Systematic Review and Meta-Analysis
    International journal of neonatal screening · DOI · Europe PMC
  • 2025-12开放获取
    Holocarboxylase Synthetase Deficiency: A Second Case Report With Neonatal Cholestatic Liver Disease
    JIMD reports · DOI · Europe PMC
  • 2025-12开放获取
    Expanded Newborn Screening for Inborn Errors of Metabolism at a Single Center in Louisiana (2005-2024): Outcomes
    International journal of neonatal screening · 被引 2 · DOI · Europe PMC

中国境外的在招试验 1L2

这些试验在中国没有研究中心,通常无法直接报名——入组一般要求在当地居住并接受随访。列在这里是因为它另有用处:看清楚全世界正在试哪些药、做到了哪一期、由谁在做。把药名和 NCT 编号记下来去问主治医生,或据此进一步查该药是否已在境外获批、是否有拓展性用药(expanded access)通道。

意大利1

共 1 项。

  • 招募中NCT06723925
    Neonatal Screening of Biotinidase Deficiency: Genotype-phenotype Correlation and Clinical Follow-up
    观察性 · 2021/04/21IRCCS Azienda Ospedaliero-Universitaria di Bologna
    意大利

外部标识与链接

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本页数据来源

  • 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
  • 中文病名:Orphanet 中文包,冻结于 2020-06-01
  • 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)