Chu Yan, Xu Zi-Gang, Xu Zhe, Ma Lin
Department of Dermatology, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Pediatr Dermatol. 2015 Mar-Apr;32(2):271-5. doi: 10.1111/pde.12406. Epub 2014 Dec 29.
Hutchinson-Gilford progeria syndrome is a rare genetic disorder characterized by premature aging of the skin, bones, heart, and blood vessels. We report a 6-year-old boy who was born at full term but presented with scleroderma-like appearance at 1 month of age and gradually developed clinical manifestations of progeria. He had characteristic facial features of prominent eyes, scalp, and leg veins; loss of scalp hair, eyebrows, and eyelashes; stunted growth; scleroderma-like changes of the skin; and a premature aged appearance. Metabolic investigations showed transient methylmalonic aciduria, and genetic testing of the peripheral blood identified the c.1824C>T heterozygous LMNA mutation. The present case is reported because of its rarity.
哈钦森-吉尔福德早衰综合征是一种罕见的遗传性疾病,其特征为皮肤、骨骼、心脏和血管过早衰老。我们报告一名6岁男孩,他足月出生,但在1个月大时出现硬皮病样外观,并逐渐出现早衰的临床表现。他具有突出的眼睛、头皮和腿部静脉等特征性面部特征;头皮毛发、眉毛和睫毛脱落;生长发育迟缓;皮肤硬皮病样改变;以及过早衰老的外观。代谢检查显示短暂性甲基丙二酸尿症,外周血基因检测鉴定出c.1824C>T杂合型LMNA突变。本病例因其罕见性而被报道。