From: A novel COL4A5 splicing mutation causes alport syndrome in a Chinese family
Proband | Brother | Mother | grandmother | grandfather | |
---|---|---|---|---|---|
COL4A5 Mutation Position | c.4298-8G > A (hemi) | c.4298-8G > A (hemi) | c.4298-8G > A (Het) | c.4298-8G > A(Het) | - |
Sex | M | M | F | F | M |
Age (yr) | 13 | 11 | 31 | 72 | 76 |
Blood pressure (mmHg) | 114/60 | 120/89 | 171/130 | 146/74 | 182/93 |
Occult blood | 2+ | 3+ | ± | ± | - |
Red blood cells under microscope (0–3/HP) | 2+ | 3+ | 5–10 | - | - |
Proteinuria | 2+ | 4+ | 2+ | 2+ | 1+ |
Creatinine (59–104) µmol/L | 259 | 103 | 205 | 76 | 128 |
urea (3.1-8) mmol/L | 14.21 | 7.84 | 10.24 | 4.86 | 7.64 |
Uric acid (208–418) µmol/L | 263 | 315 | 459 | 300 | 472 |
24 h urinary protein (< 150 mg) | 5175 | 2838 | 560 | ND | ND |
uPCR (< 0.2) g/g | 9.66 | 6.76 | 1.71 | 0.76 | 0.44 |
eGFR (90–120) mL/min/1.73 m² | 31 | 96 | 27 | 68 | 35 |
Renal ultrasound | Enhanced echo of renal parenchyma | Enhanced echo of renal parenchyma | Enhanced echo of renal parenchyma | ND | ND |
Renal pathology | FSGS(Glomerular sclerosis accounts for 59%) | FSGS(Glomerular sclerosis accounts for 32%) | proliferative sclerosing glomerulonephritis(Glomerular sclerosis accounts for 50%) | ND | ND |
Ocular lesions | 200 degree myopia | 200 degree myopia | 1000 degree myopia | N | myopia |
Hearing loss | - | - | - | - | - |