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原发性甲状腺功能减退症:沃科特-拉利森综合征的一种罕见表现。

Primary hypothyroidism: an unusual manifestation of Wolcott-Rallison syndrome.

作者信息

Ersoy Betül, Özhan Bayram, Kiremitçi Seniha, Rubio-Cabezas Oscar, Ellard Sian

机构信息

Division of Pediatric Endocrinology and Metabolism, School of Medicine, Celal Bayar University, Manisa, 45000, Turkey.

出版信息

Eur J Pediatr. 2014 Dec;173(12):1565-8. doi: 10.1007/s00431-013-2110-8. Epub 2013 Aug 11.

DOI:10.1007/s00431-013-2110-8
PMID:23933668
Abstract

Wolcott-Rallison syndrome has been reported to be associated with early-onset diabetes, epiphyseal dysplasia, hepatic and renal dysfunction, mental retardation, severe growth retardation, neutropenia, exocrine pancreatic dysfunction, and central hypothyroidism. We report on primary hypothyroidism, which has not been previously described, of a patient with Wolcott-Rallison syndrome due to novel mutation (W521X), who showed improved growth after thyroid hormone treatment.

摘要

据报道,沃科特-拉利森综合征与早发性糖尿病、骨骺发育异常、肝肾功能障碍、智力迟钝、严重生长发育迟缓、中性粒细胞减少、外分泌胰腺功能障碍及中枢性甲状腺功能减退有关。我们报告了1例因新突变(W521X)导致沃科特-拉利森综合征患者出现原发性甲状腺功能减退,此前未见相关描述,该患者经甲状腺激素治疗后生长情况有所改善。

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Primary hypothyroidism: an unusual manifestation of Wolcott-Rallison syndrome.原发性甲状腺功能减退症:沃科特-拉利森综合征的一种罕见表现。
Eur J Pediatr. 2014 Dec;173(12):1565-8. doi: 10.1007/s00431-013-2110-8. Epub 2013 Aug 11.
2
Wolcott-Rallison syndrome due to the same mutation (W522X) in EIF2AK3 in two unrelated families and review of the literature.两个无关联家族中因 EIF2AK3 相同突变(W522X)导致的 Wolcott-Rallison 综合征,并对文献进行复习。
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THE 3rd W522X MUTATION IN EIF2AK3 GENE FROM TURKEY: A NEW PATIENT WITH WOLCOTT-RALLISON SYNDROME.来自土耳其的EIF2AK3基因的第3个W522X突变:一名新的沃尔科特-拉利森综合征患者。
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Wolcott-Rallison syndrome in two siblings with isolated central hypothyroidism.两名患有孤立性中枢性甲状腺功能减退症的兄弟姐妹患沃科特-拉利森综合征。
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引用本文的文献

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Wolcott-Rallison syndrome: late-onset diabetes, multiple epiphyseal dysplasia, and acute liver failure - a case report.沃尔科特-拉利森综合征:迟发性糖尿病、多发性骨骺发育不良和急性肝衰竭——一例报告
J Pediatr Endocrinol Metab. 2025 May 26. doi: 10.1515/jpem-2025-0116.
2
Wolcott-Rallison syndrome: a case series of three patients.沃尔科特-拉利森综合征:三例病例系列。
Pediatr Endocrinol Diabetes Metab. 2022;28(3):238-240. doi: 10.5114/pedm.2022.118325.
3
A novel splice site indel alteration in the EIF2AK3 gene is responsible for the first cases of Wolcott-Rallison syndrome in Hungary.

本文引用的文献

1
Endoplasmic reticulum stress induces hepatic steatosis via increased expression of the hepatic very low-density lipoprotein receptor.内质网应激通过增加肝脏极低密度脂蛋白受体的表达诱导肝脂肪变性。
Hepatology. 2013 Apr;57(4):1366-77. doi: 10.1002/hep.26126.
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Assessment of iodine nutrition in populations: past, present, and future.人群碘营养评估:过去、现在和未来。
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Endoplasmic reticulum stress decreases intracellular thyroid hormone activation via an eIF2a-mediated decrease in type 2 deiodinase synthesis.
匈牙利首例 Wolcott-Rallison 综合征由 EIF2AK3 基因的新型剪接位点插入缺失改变引起。
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EIF2AK3 novel mutation in a child with early-onset diabetes mellitus, a case report.EIF2AK3 新型突变致早发性糖尿病 1 例报告
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Liver disease and other comorbidities in Wolcott-Rallison syndrome: different phenotype and variable associations in a large cohort.沃尔科特-拉利森综合征中的肝脏疾病及其他合并症:大型队列中的不同表型及可变关联
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内质网应激通过真核生物翻译起始因子2α(eIF2a)介导的2型脱碘酶合成减少来降低细胞内甲状腺激素的激活。
Mol Endocrinol. 2011 Dec;25(12):2065-75. doi: 10.1210/me.2011-1061. Epub 2011 Nov 3.
4
Wolcott-Rallison syndrome due to the same mutation (W522X) in EIF2AK3 in two unrelated families and review of the literature.两个无关联家族中因 EIF2AK3 相同突变(W522X)导致的 Wolcott-Rallison 综合征,并对文献进行复习。
Pediatr Diabetes. 2010 Jun;11(4):279-85. doi: 10.1111/j.1399-5448.2009.00591.x. Epub 2010 Feb 25.
5
Wolcott-Rallison syndrome is the most common genetic cause of permanent neonatal diabetes in consanguineous families.沃尔科特-拉利森综合征是导致近亲家庭中永久性新生儿糖尿病的最常见遗传病因。
J Clin Endocrinol Metab. 2009 Nov;94(11):4162-70. doi: 10.1210/jc.2009-1137. Epub 2009 Oct 16.
6
Wolcott-Rallison syndrome: a clinical and genetic study of three children, novel mutation in EIF2AK3 and a review of the literature.沃尔科特-拉利森综合征:三名儿童的临床与遗传学研究、EIF2AK3基因的新突变及文献综述
Acta Paediatr. 2004 Sep;93(9):1195-201.
7
Wolcott-Rallison syndrome in two siblings with isolated central hypothyroidism.两名患有孤立性中枢性甲状腺功能减退症的兄弟姐妹患沃科特-拉利森综合征。
Am J Med Genet. 2002 Aug 1;111(2):187-90. doi: 10.1002/ajmg.10495.
8
Wolcott-Rallison syndrome: a case with endocrine and exocrine pancreatic deficiency and pancreatic hypotrophy.
Eur J Pediatr. 2000 Aug;159(8):631-3. doi: 10.1007/pl00008394.
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Perk is essential for translational regulation and cell survival during the unfolded protein response.Perk在未折叠蛋白反应期间对于翻译调控和细胞存活至关重要。
Mol Cell. 2000 May;5(5):897-904. doi: 10.1016/s1097-2765(00)80330-5.
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Wolcott-Rallison syndrome: diabetes mellitus and spondyloepiphyseal dysplasia.沃尔科特-拉利森综合征:糖尿病与脊椎骨骺发育不良。
Eur J Pediatr. 1982 Mar;138(2):120-9. doi: 10.1007/BF00441137.