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[三倍体的临床表型]

[Clinical expression of triploidy].

作者信息

Obersztyn Ewa, Kutkowska-Kazmierczak Anna, Jakubow-Durska Krystyna

机构信息

Zaklad Genetyki Medycznej, Instytut Matki i Dziecka, Kasprzaka 17A, 01-211 Warszawa, Poland.

出版信息

Med Wieku Rozwoj. 2002 Oct-Dec;6(4):329-36.

Abstract

Triploidy, the presence of an additional haploid set of chromosomes, is the cause of 20% of spontaneous abortions, premature births and perinatal deaths. The most common clinical signs of triploidy are: severe intrauterine growth retardation, macrocephaly, total syndactyly of third and fourth fingers and CNS, heart and renal defects. Hydatidiform mole, one of the characteristic features of pure triploidy, is found in more than 90% of cases. The survival of individuals with diploid/triploid mixoploidy is usually longer than of those with pure triploidy. The detailed clinical characteristics of two of our patients with triploidy diagnosed shortly after birth are presented. In one of them mixoploidy (lymphocytes/fibroblasts) was confirmed. In the second pure triploidy was identified in cultured lymphocytes. We discuss the clinical features in our patients and compare them with data from medical literature.

摘要

三倍体,即额外存在一组单倍体染色体,是导致20%自然流产、早产和围产期死亡的原因。三倍体最常见的临床体征包括:严重的宫内生长迟缓、巨头畸形、第三和第四指完全并指以及中枢神经系统、心脏和肾脏缺陷。葡萄胎是纯三倍体的特征之一,在90%以上的病例中可见。二倍体/三倍体混合倍体个体的存活时间通常比纯三倍体个体长。本文介绍了我们两名出生后不久被诊断为三倍体的患者的详细临床特征。其中一名患者确诊为混合倍体(淋巴细胞/成纤维细胞)。在第二名患者的培养淋巴细胞中鉴定出纯三倍体。我们讨论了我们患者的临床特征,并将其与医学文献中的数据进行比较。

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