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一名患有此前未被怀疑的1型神经纤维瘤病和青少年粒单核细胞白血病的儿童患幼年性黄色肉芽肿。

Juvenile xanthogranuloma in a child with previously unsuspected neurofibromatosis type 1 and juvenile myelomonocytic leukemia.

作者信息

Raygada Margarita, Arthur Diane C, Wayne Alan S, Rennert Owen M, Toretsky Jeffrey A, Stratakis Constantine A

机构信息

Eunice Kennedy Shriver National Institute of Child Health and Human Development, Section on Developmental Genetics, Bethesda, MD 20892-1831, USA.

出版信息

Pediatr Blood Cancer. 2010 Jan;54(1):173-5. doi: 10.1002/pbc.22297.

Abstract

The association of neurofibromatosis 1 (NF1), juvenile xanthogranulomas (JXG), and juvenile myelomonocytic leukemia (JMML) has been previously reported. We describe herein this triad in a Caucasian male infant with a pathogenic mutation in the NF1 gene (neurofibromin). The clinical course from initial presentation to final diagnosis is detailed; the physical features and hematologic characteristics are discussed. The patient underwent bone marrow transplantation and is currently in remission. Children with concurrent cutaneous café-au-lait and JXG lesions should be evaluated and monitored closely for the possible development of JMML.

摘要

先前已有关于1型神经纤维瘤病(NF1)、幼年性黄色肉芽肿(JXG)和幼年型粒单核细胞白血病(JMML)关联的报道。我们在此描述一名患有NF1基因(神经纤维瘤蛋白)致病突变的白种男婴的这三联征。详细介绍了从首次出现症状到最终确诊的临床过程;讨论了体格特征和血液学特征。该患者接受了骨髓移植,目前处于缓解期。对于同时有皮肤牛奶咖啡斑和JXG皮损的儿童,应密切评估和监测,以观察JMML的可能发生情况。

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1
Neurofibromatosis.神经纤维瘤病
Eur J Med Res. 2009 Mar 17;14(3):102-5. doi: 10.1186/2047-783x-14-3-102.
2
Juvenile myelomonocytic leukemia: report of seven cases and review of literature.
Pediatr Dev Pathol. 2009 Mar-Apr;12(2):136-42. doi: 10.2350/08-04-0456.1. Epub 2008 Aug 22.
3
Treatment of juvenile xanthogranuloma.幼年性黄色肉芽肿的治疗。
Pediatr Blood Cancer. 2008 Jul;51(1):130-3. doi: 10.1002/pbc.21523.

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