Evidence map›Paper›PMID 41291521›Full record

ArticleBMC nephrology2025

Unprecedented coexistence of Dent's disease type 1 and Wilson's disease in a two-year-old Chinese boy: implications for precision medicine.

Qingxian Mao, Wai W Cheung, Ruochen Che, Fei Zhao, Xueqin Cheng, Guixia Ding

Abstract readCase Reports
In one paragraph

Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Qingxian MaoDepartment of Nephrology, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, Jiangsu Province, 210029, China.
Wai W CheungYangtze Delta Region Institute of Tsinghua University, Jiaxing, 314000, China.
Ruochen CheDepartment of Nephrology, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, Jiangsu Province, 210029, China.
Fei ZhaoDepartment of Nephrology, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, Jiangsu Province, 210029, China.
Xueqin Cheng *Department of Nephrology, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, Jiangsu Province, 210029, China. duoer417@126.com.
Guixia Ding *Department of Nephrology, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, Jiangsu Province, 210029, China. bhgyuan@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe concurrent diagnosis of Dent’s disease type 1 (DD1) and Wilson’s disease (WD) in a single individual has not been previously documented. The co-occurrence of these two distinct autosomal recessive and X-linked disorders poses significant diagnostic challenges. CASE PRESENTATION: We describe a two-year-old Chinese boy who presented with isolated low-molecular-weight proteinuria (LMWP) and mildly elevated liver enzymes. Genetic analysis revealed a hemizygous variant in the CLCN5 gene (c.1756C>T, p.R586W) and compound heterozygous variants in the ATP7B gene (c.994G>T, p.Glu332* and c.4014T>A, p.Ile1338=), confirming the diagnoses of DD1 and WD, respectively. The diagnosis was supported by characteristic biochemical findings, including markedly reduced serum caeruloplasmin and elevated 24-hour urinary copper excretion, culminating in a Leipzig score of 7.

conclusionThis case represents the first reported instance of concomitant DD1 and WD. It underscores the critical role of comprehensive genetic testing in elucidating complex pediatric phenotypes involving multi-system presentations and highlights the practical implications for precision medicine in guiding diagnosis and therapeutic strategy, particularly in avoiding potentially nephrotoxic treatments like D-penicillamine. CLINICAL

trial registrationNot applicable. This article is a case report and does not report results of a clinical trial.

Indexed as

Dent DiseaseHepatolenticular DegenerationOsteosclerosisPrecision MedicineCeruloplasminChild, PreschoolChloride ChannelsCopper-Transporting ATPasesEast Asian PeopleGenetic Diseases, X-LinkedHumansMaleNephrolithiasisATP7B protein, humanCeruloplasminChloride ChannelsCLC-5 chloride channelCopper-Transporting ATPasesATP7BCLCN5Dent’s diseaseLow-molecular-weight proteinuriaWilson’s disease

Identifiers

PMID41291521
PMCPMC12764118

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.