医学
糖尿病
青少年成熟型糖尿病
突变
基因检测
自身抗体
内科学
胰岛素
内分泌学
基因
遗传学
2型糖尿病
免疫学
生物
抗体
作者
Fenjuan Xu,Xiaoting Chen,Tingting Hu,Ruqiong Sun,Fangying Zhu,Xiaohong Wu
摘要
Maturity onset diabetes of the young (MODY) is a highly heterogeneous monogenic disease that occurs due to β-cell dysfunction. It is divided into different types depending on the gene mutated, and a total of 16 genes have been found to be associated with MODY. However, due to the current lack of understanding of monogenic diabetes, 90% of MODY is currently misdiagnosed and ignored in clinical practice. In this paper, we report the clinical data of a patient diagnosed with diabetes. Genetic testing revealed a novel BLK heterozygous mutation (c.363G>A) in the patient and in his father and son. He had no islet-specific autoantibodies and showed a reduced meal-induced response of insulin. Precise diagnosis of MODY individuals is important to the treatment.
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