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患有特纳综合征的女孩患川崎病:一种显著的关联。

Kawasaki disease in a girl with Turner syndrome: a remarkable association.

作者信息

Stagi Stefano, Losi Stefania, Chiarelli Francesco, de Martino Maurizio, Falcini Fernanda

机构信息

Department of Health Sciences, University of Florence, Anna Meyer Children's University Hospital, Florence, Italy.

出版信息

Ital J Pediatr. 2014 Feb 28;40(1):24. doi: 10.1186/1824-7288-40-24.

DOI:10.1186/1824-7288-40-24
PMID:24580845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3944673/
Abstract

We describe a girl with Turner syndrome, a genetic disorder of the X chromosome in a phenotypic female at increased risk of autoimmune and immunological diseases, who developed Kawasaki disease at the age of four years. Given the possible relationship between these two disorders, we recommend suspecting Kawasaki disease in patients with Turner syndrome who present with persistent fever of unknown origin and who are not responsive to antibiotic therapy. Attention should be given to this phenomenon, as patients with Turner syndrome are themselves at higher risk of cardiovascular defects. Further studies are needed to better clarify this issue.

摘要

我们描述了一名患有特纳综合征的女孩,特纳综合征是一种发生在表型为女性的X染色体遗传性疾病,这类患者患自身免疫性和免疫性疾病的风险增加,该女孩在4岁时患上了川崎病。鉴于这两种疾病之间可能存在的关联,我们建议对于患有特纳综合征且出现不明原因持续发热且对抗生素治疗无反应的患者,应怀疑其患有川崎病。应关注这一现象,因为特纳综合征患者本身患心血管缺陷的风险更高。需要进一步研究以更好地阐明这个问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e4/3944673/26cee5b6cf04/1824-7288-40-24-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e4/3944673/26cee5b6cf04/1824-7288-40-24-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e4/3944673/26cee5b6cf04/1824-7288-40-24-1.jpg

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引用本文的文献

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Bioinformatic analysis identifies the immunological profile of turner syndrome with different X chromosome origins.生物信息学分析确定了不同 X 染色体来源的特纳综合征的免疫学特征。
Front Endocrinol (Lausanne). 2023 Jan 17;14:1024244. doi: 10.3389/fendo.2023.1024244. eCollection 2023.

本文引用的文献

1
Moderate aortic enlargement and bicuspid aortic valve are associated with aortic dissection in Turner syndrome: report of the international turner syndrome aortic dissection registry.中度主动脉扩张和二叶式主动脉瓣与 Turner 综合征患者的主动脉夹层相关:国际 Turner 综合征主动脉夹层登记研究报告。
Circulation. 2012 Oct 30;126(18):2220-6. doi: 10.1161/CIRCULATIONAHA.111.088633. Epub 2012 Oct 2.
2
Autoimmune diseases in women with Turner's syndrome.特纳综合征女性中的自身免疫性疾病。
Arthritis Rheum. 2010 Mar;62(3):658-66. doi: 10.1002/art.27270.
3
Translational mini-review series on immunology of vascular disease: accelerated atherosclerosis in vasculitis.
血管疾病免疫学转化迷你综述系列:血管炎中的动脉粥样硬化加速
Clin Exp Immunol. 2009 Jun;156(3):377-85. doi: 10.1111/j.1365-2249.2009.03885.x. Epub 2009 Mar 20.
4
Age-related acceleration of endothelial dysfunction and subclinical atherosclerosis in subjects with coronary artery lesions after Kawasaki disease.川崎病后冠状动脉病变患者内皮功能障碍和亚临床动脉粥样硬化的年龄相关加速
Pediatr Cardiol. 2009 Apr;30(3):262-8. doi: 10.1007/s00246-008-9329-6. Epub 2008 Nov 20.
5
Chronic granulomatous disease associated with atypical Kawasaki disease.与非典型川崎病相关的慢性肉芽肿病
Pediatr Cardiol. 2008 Jan;29(1):169-71. doi: 10.1007/s00246-007-9011-4. Epub 2007 Aug 4.
6
The role of the X chromosome in immunity and autoimmunity.X染色体在免疫和自身免疫中的作用。
Autoimmun Rev. 2007 Mar;6(4):218-22. doi: 10.1016/j.autrev.2006.08.004. Epub 2006 Aug 28.
7
Relationship between carotid intima-media thickness and arterial stiffness in children after Kawasaki disease.川崎病患儿颈动脉内膜中层厚度与动脉僵硬度之间的关系
Arch Dis Child. 2007 Jan;92(1):43-7. doi: 10.1136/adc.2006.096628. Epub 2006 Jul 4.
8
Coeliac disease in patients with Kawasaki disease. Is there a link?川崎病患者中的乳糜泻。两者有关联吗?
Rheumatology (Oxford). 2006 Jul;45(7):847-50. doi: 10.1093/rheumatology/kel007. Epub 2006 Jan 17.
9
Study of the autoantibody profile after the acute phase of Kawasaki disease in a cohort of children from North India.印度北部一组儿童川崎病急性期后自身抗体谱的研究。
Rheumatol Int. 2006 Jun;26(8):693-6. doi: 10.1007/s00296-005-0050-y. Epub 2005 Nov 25.
10
CD25+CD4+ regulatory T cells in patients with Kawasaki disease.川崎病患者的CD25 + CD4 +调节性T细胞
J Pediatr. 2004 Sep;145(3):385-90. doi: 10.1016/j.jpeds.2004.05.048.