Yamamoto Y, Fugisawa S, Morishima T, Morioka S, Iinuma K
Department of Dermatology, Nihon University, School of Medicine.
Nihon Hifuka Gakkai Zasshi. 1990 Mar;100(4):527-32.
A typical case of X-linked anhidrotic ectodermal dysplasia (AED) aged 19 year-old-male was discussed in detail, and a diagnosis of carriers of AED with his elder sister aged 24 years just before her marriage and mother was carried out. It seemed that the presence of 6 items of manifestation were important for diagnosis of carriers of AED without any evident symptoms. These were (1) abnormal teeth, (2) dissociation of dermatoglyphics, (3) hypohidrosis, (4) anhidrotic patchy distribution, (5) the lines of Blaschko and (6) expansion of distance between sweat pores. His mother was able to be diagnosed as a carrier of AED by having all of the 6 items. It was confirmed that his sister was not a carrier of AED, since she had none of the 6 items and yet her probability of being a carrier of AED was 1.5625% due to Lyon's hypothesis.
详细讨论了一名19岁男性的典型X连锁无汗性外胚层发育不良(AED)病例,并对其24岁即将结婚的姐姐和母亲进行了AED携带者诊断。对于无明显症状的AED携带者诊断而言,似乎出现6项表现很重要。这些表现为:(1)牙齿异常;(2)皮纹分离;(3)少汗;(4)无汗性斑片状分布;(5)布拉斯科线;(6)汗孔间距增大。他的母亲因具备所有6项表现而被诊断为AED携带者。经确认,他的姐姐不是AED携带者,因为她没有这6项表现中的任何一项,但根据莱昂假说,她成为AED携带者的概率为1.5625%。