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三 A 综合征的异质性及 1 例病例分析

Heterogeneity of the triple A syndrome and assessment of a case.

作者信息

Lovrecić L, Pelet A, Peterlin B

机构信息

Division of Medical Genetics, Department of Obstetrics and Gynecology, UMC, Slajmerjeva 3, SI-1000 Ljubljana, Slovenia.

出版信息

Genet Couns. 2006;17(2):191-5.

PMID:16970037
Abstract

Allgrove syndrome (triple A syndrome) is a rare autosomal recessive disorder characterized by achalasia, alacrima, adrenal insufficiency, and--occasionally--autonomic instability. Disease causing mutations have been found in the AAAS gene on 12q13, but no strong phenotype-genotype correlation could be found. We present a 28 year-old woman with classical systemic features of triple A syndrome with prominent neurological dysfunctions/deficits, including distal muscular atrophy, progressive muscle weakness and wasting of both legs, sensibility dysfunction, hyperreflexia and autonomic dysfunction presented with excessive sweating. DNA sequencing of the AAAS gene revealed compound heterozygosity for previously reported mutations. A similar genotype was previously reported, but with a remarkably different phenotype.

摘要

奥尔格罗夫综合征(三 A 综合征)是一种罕见的常染色体隐性疾病,其特征为贲门失弛缓症、无泪症、肾上腺功能不全,偶尔还伴有自主神经功能不稳定。已在 12q13 上的 AAAS 基因中发现致病突变,但未发现明显的表型-基因型相关性。我们报告一名 28 岁女性,具有典型的三 A 综合征全身特征,伴有明显的神经功能障碍/缺陷,包括远端肌肉萎缩、双下肢进行性肌肉无力和萎缩、感觉功能障碍、反射亢进以及表现为多汗的自主神经功能障碍。AAAS 基因的 DNA 测序显示为先前报道的突变的复合杂合子。先前曾报道过类似的基因型,但表型明显不同。

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Heterogeneity of the triple A syndrome and assessment of a case.三 A 综合征的异质性及 1 例病例分析
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2
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[From gene to disease; adrenocortical insufficiency, achalasia and disrupted tear secretion: Allgrove syndrome].[从基因到疾病;肾上腺皮质功能不全、贲门失弛缓症与泪液分泌障碍:奥尔格罗夫综合征]
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Triple-A syndrome with prominent ophthalmic features and a novel mutation in the AAAS gene: a case report.具有显著眼部特征的三 A 综合征及 AAAS 基因新突变:一例报告
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[Allgrove syndrome in the mainland of China: clinical report and mutation analysis].[中国大陆的奥尔格罗夫综合征:临床报告与突变分析]
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Phenotype-genotype spectrum of AAA syndrome from Western India and systematic review of literature.印度西部AAA综合征的表型-基因型谱及文献系统综述
Endocr Connect. 2017 Nov;6(8):901-913. doi: 10.1530/EC-17-0255.
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Two siblings with triple A syndrome and novel mutation presenting as hereditary polyneuropathy.两兄妹患有 Triple A 综合征和新突变,表现为遗传性多发性神经病。
Eur J Pediatr. 2011 Mar;170(3):393-6. doi: 10.1007/s00431-010-1314-4. Epub 2010 Oct 8.
4
Case report of adult-onset Allgrove syndrome.成人起病的奥尔格罗夫综合征病例报告。
Neurol Sci. 2007 Dec;28(6):331-5. doi: 10.1007/s10072-007-0848-3. Epub 2008 Jan 4.