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一名患有面部畸形、肢体异常、巨脑回和生殖器发育不全的火棉胶婴儿:是轻度形式的诺伊-拉索娃综合征还是一种新的病症?

A collodion baby with facial dysmorphism, limb anomalies, pachygyria and genital hypoplasia: a mild form of Neu-laxova syndrome or a new entity?

作者信息

Ozcan Deren, Derbent Murat, Seçkin Deniz, Bikmaz Yunus Emre, Ağildere Muhteşem, De Sandre-Giovannoli Annachiara, Lévy Nicolas, Gürakan Berkan

机构信息

Department of Dermatology, Başkent University Faculty of Medicine, Ankara, Turkey.

Department of Pediatrics, Başkent University Faculty of Medicine, Ankara, Turkey.

出版信息

Ann Dermatol. 2013 Nov;25(4):483-8. doi: 10.5021/ad.2013.25.4.483. Epub 2013 Nov 30.

DOI:10.5021/ad.2013.25.4.483
PMID:24371398
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3870219/
Abstract

Neu-Laxova syndrome is a rare, lethal, autosomal recessive disorder characterized by intrauterine growth retardation, central nervous system anomalies, skin findings, such as ichthyosis, edema, collodion baby and harlequin fetus, facial dysmorphic features, limb anomalies and genital hypoplasia. Although it is generally a lethal condition, cases of such patients who lived beyond 6 months and 10 months of age have been reported. Here, we describe an 8-year-old boy who was born with collodion membrane, facial dysmorphic features, limb anomalies, genital hypoplasia and pachygyria. He had no major health problems over the course of 8 years of follow-up, except for mild mental/motor retardation, ichthyosis, facial dysmorphic features and limb anomalies. Based on these features, we suggest that because Neu-Laxova syndrome represents a heterogeneous phenotype, our case may be a milder variant of this syndrome or a new genetic entity.

摘要

纽-拉索瓦综合征是一种罕见的致死性常染色体隐性疾病,其特征为宫内生长迟缓、中枢神经系统异常、皮肤表现(如鱼鳞病、水肿、胶样婴儿和丑角样胎儿)、面部畸形特征、肢体异常和生殖器发育不全。尽管这通常是一种致死性疾病,但也有报道称此类患者存活超过6个月和10个月的病例。在此,我们描述一名8岁男孩,他出生时伴有胶样膜、面部畸形特征、肢体异常、生殖器发育不全和巨脑回。在8年的随访过程中,他没有重大健康问题,只是有轻度智力/运动发育迟缓、鱼鳞病、面部畸形特征和肢体异常。基于这些特征,我们认为,由于纽-拉索瓦综合征表现为一种异质性表型,我们的病例可能是该综合征的一种较轻型变体或一种新的遗传实体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e854/3870219/646bcca8bd40/ad-25-483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e854/3870219/e70216e0c442/ad-25-483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e854/3870219/646bcca8bd40/ad-25-483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e854/3870219/e70216e0c442/ad-25-483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e854/3870219/646bcca8bd40/ad-25-483-g002.jpg

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引用本文的文献

1
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2
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本文引用的文献

1
Neu-Laxova syndrome: A new patient with detailed antenatal and post-natal findings.纽-拉索瓦综合征:一名有详细产前和产后检查结果的新患者。
Am J Med Genet A. 2010 Dec;152A(12):3193-6. doi: 10.1002/ajmg.a.33737.
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A spectrum of phenotypical expression OF Neu-Laxova syndrome: Three case reports and a review of the literature.Neu-Laxova综合征的一系列表型表达:三例病例报告及文献综述
Fetal Pediatr Pathol. 2010 Jan;29(2):108-19. doi: 10.3109/15513811003620914.
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Neu-Laxova syndrome in an appropriate for gestational age newborn.
Indian J Dermatol Venereol Leprol. 2008 Sep-Oct;74(5):487-9. doi: 10.4103/0378-6323.44307.
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Neu-Laxova syndrome, grossly appearing normal on 20 weeks ultrasonographic scan, that manifested late in pregnancy: a case report.纽-拉索瓦综合征,在孕20周超声扫描时外观大致正常,于妊娠晚期出现:一例报告。
Arch Gynecol Obstet. 2007 Oct;276(4):367-70. doi: 10.1007/s00404-007-0349-x. Epub 2007 Apr 4.
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Neu-Laxova syndrome: a case report and review of the literature.纽-拉索娃综合征:一例病例报告及文献综述
J Eur Acad Dermatol Venereol. 2006 Oct;20(9):1126-8. doi: 10.1111/j.1468-3083.2006.01645.x.
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Homozygous and compound heterozygous mutations in ZMPSTE24 cause the laminopathy restrictive dermopathy.ZMPSTE24基因的纯合突变和复合杂合突变会导致层粘连蛋白病——限制性皮肤病。
J Invest Dermatol. 2005 Nov;125(5):913-9. doi: 10.1111/j.0022-202X.2005.23846.x.
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Evaluation of a fetus with Neu-Laxova syndrome through prenatal, clinical, and pathological findings.
Fetal Diagn Ther. 2005 May-Jun;20(3):167-70. doi: 10.1159/000083898.
8
Lethal arthrogryposis with icthyosis: overlap with Neu-Laxova syndrome, restrictive dermopathy and harlequin fetus.致死性关节挛缩伴鱼鳞病:与Neu-Laxova综合征、限制性皮肤病和丑胎重叠。
Clin Dysmorphol. 2004 Apr;13(2):117-119.
9
Neu-Laxova syndrome: detailed prenatal diagnostic and post-mortem findings and literature review.纽-拉索瓦综合征:详细的产前诊断及尸检结果与文献综述
Am J Med Genet A. 2004 Mar 15;125A(3):240-9. doi: 10.1002/ajmg.a.20467.
10
What syndrome is this? Neu-Laxova syndrome.这是什么综合征?纽-拉科娃综合征。
Pediatr Dermatol. 2003 Jan-Feb;20(1):78-80. doi: 10.1046/j.1525-1470.2003.03017.x.