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佩罗特综合征——一例罕见病例报告。

Perrault syndrome - a rare case report.

作者信息

Sampathkumar Geethalakshmi, Veerasigamani Narendrakumar

机构信息

Assistant Professor, Department of General Medicine, Aarupadai Veedu Medical College, Puducherry, Formerly Junior Resident, Government Stanley Medical College Hospital , Chennai, India .

Formerly Junior Resident, Department of ENT, Madras Medical College and Rajiv Gandhi Government General Hospital , Chennai, India .

出版信息

J Clin Diagn Res. 2015 Mar;9(3):OD01-2. doi: 10.7860/JCDR/2015/10992.5641. Epub 2015 Mar 1.

DOI:10.7860/JCDR/2015/10992.5641
PMID:25954653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4413102/
Abstract

Perrault syndrome is a rare disease comprising pure gonadal dysgenesis (46 XX) and sensorineural hearing loss in females and deafness alone in affected males. It is an autosomal recessive disorder. Over the years many additional features like marfanoid habitus and central nervous system findings have also been reported. Herein we report a case of sporadic Perrault syndrome in 18-year-old female who presented to our hospital with deaf mutism and primary amenorrhoea. On evaluation, the patient had hypergonadotropic hypogonadism, streak gonads and a normal karyotype (46 XX). Audiologic evaluation showed sensorineural deafness. The patient was started on hormone replacement therapy. She is on regular follow up. We present this case for its infrequent incidence and also to add to the ever expanding clinical spectrum of this disease.

摘要

佩罗特综合征是一种罕见疾病,其特征为女性患者存在单纯性腺发育不全(46 XX)和感音神经性听力损失,而男性患者仅表现为耳聋。它是一种常染色体隐性疾病。多年来,还报告了许多其他特征,如类马凡氏体型和中枢神经系统表现。在此,我们报告一例18岁女性散发性佩罗特综合征病例,该患者因聋哑和原发性闭经前来我院就诊。经评估,患者存在高促性腺激素性性腺功能减退、条索状性腺以及正常核型(46 XX)。听力评估显示有感音神经性耳聋。患者开始接受激素替代治疗。她正在定期随访。我们展示该病例是因其发病率低,同时也是为了丰富这种疾病不断扩展的临床谱。

相似文献

1
Perrault syndrome - a rare case report.佩罗特综合征——一例罕见病例报告。
J Clin Diagn Res. 2015 Mar;9(3):OD01-2. doi: 10.7860/JCDR/2015/10992.5641. Epub 2015 Mar 1.
2
A rare cause for primary amenorrhea: Sporadic perrault syndrome.原发性闭经的罕见病因:散发性佩罗特综合征。
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A rare cause for primary amenorrhoea.原发性闭经的罕见病因。
J Hum Reprod Sci. 2012 May;5(2):218-20. doi: 10.4103/0974-1208.101026.
4
Perrault syndrome with Marfanoid habitus in two siblings.两例患有马凡氏体型的佩罗特综合征同胞兄妹。
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Perrault syndrome with amenorrhea, infertility, Tarlov cyst, and degenerative disc.佩罗特综合征伴闭经、不孕、椎管内神经根囊肿和退行性椎间盘病变。
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Perrault syndrome with growth hormone deficiency: a rare autosomal recessive disorder.伴有生长激素缺乏的佩罗特综合征:一种罕见的常染色体隐性疾病。
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Expanding the genotypic spectrum of Perrault syndrome.扩展佩罗特综合征的基因型谱。
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New variant of familial cerebellar ataxia with hypergonadotropic hypogonadism and sensorineural deafness.伴有促性腺激素增多性性腺功能减退和感音神经性耳聋的家族性小脑共济失调新变体。
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Marfanoid habitus is a nonspecific feature of Perrault syndrome.蜘蛛样体型是佩罗特综合征的非特异性特征。
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New insights into Perrault syndrome, a clinically and genetically heterogeneous disorder.佩罗特综合征的新认识,一种临床表现和遗传异质性的疾病。
Hum Genet. 2022 Apr;141(3-4):805-819. doi: 10.1007/s00439-021-02319-7. Epub 2021 Aug 2.

引用本文的文献

1
The Perrault Syndrome Mystery: A Case Report on Its Diagnosis in a 26-Year-Old Female.佩罗特综合征之谜:一例26岁女性患者的诊断病例报告
Cureus. 2024 Oct 1;16(10):e70648. doi: 10.7759/cureus.70648. eCollection 2024 Oct.
2
Exome sequencing reveals pathogenic mutations in the LARS2 and HSD17B4 genes associated with Perrault syndrome and D-bifunctional protein deficiency in Moroccan families.外显子组测序揭示了与摩洛哥家族的 Perrault 综合征和 D-双功能蛋白缺乏相关的 LARS2 和 HSD17B4 基因中的致病性突变。
Mol Biol Rep. 2024 Jul 25;51(1):850. doi: 10.1007/s11033-024-09740-x.
3
A homozygous missense variant in HSD17B4 identified in a consanguineous Chinese Han family with type II Perrault syndrome.在一个患II型佩罗特综合征的中国汉族近亲家庭中鉴定出HSD17B4基因的纯合错义变异。
BMC Med Genet. 2017 Aug 23;18(1):91. doi: 10.1186/s12881-017-0453-0.

本文引用的文献

1
Severe manifestation of Leber's hereditary optic neuropathy due to 11778G>A mtDNA mutation in a female with hypoestrogenism due to Perrault syndrome.由于 Perrault 综合征导致雌激素水平降低的女性中,11778G>A mtDNA 突变引起 Leber 遗传性视神经病变的严重表现。
Mitochondrion. 2013 Nov;13(6):831-4. doi: 10.1016/j.mito.2013.05.011. Epub 2013 Jun 6.
2
Perrault syndrome is caused by recessive mutations in CLPP, encoding a mitochondrial ATP-dependent chambered protease.佩罗特综合征是由 CLPP 基因的隐性突变引起的,该基因编码一种线粒体 ATP 依赖性有腔蛋白酶。
Am J Hum Genet. 2013 Apr 4;92(4):605-13. doi: 10.1016/j.ajhg.2013.02.013. Epub 2013 Mar 28.
3
Perrault syndrome: report of four new cases, review and exclusion of candidate genes.佩罗特综合征:4例新病例报告、候选基因的回顾与排除
Am J Med Genet A. 2008 Mar 1;146A(5):661-4. doi: 10.1002/ajmg.a.32180.
4
Perrault syndrome with Marfanoid habitus in two siblings.两例患有马凡氏体型的佩罗特综合征同胞兄妹。
J Pediatr Adolesc Gynecol. 2007 Oct;20(5):305-8. doi: 10.1016/j.jpag.2006.11.007.
5
Perrault syndrome: evidence for progressive nervous system involvement.佩罗特综合征:神经系统进行性受累的证据。
Am J Med Genet A. 2004 Jul 30;128A(3):246-9. doi: 10.1002/ajmg.a.20616.
6
[Two cases of Turner syndrome with deaf-mutism in two sisters].[两姐妹患特纳综合征伴聋哑的两例病例]
Bull Mem Soc Med Hop Paris. 1951;67(3-4):79-84.
7
The Perrault syndrome: clinical report and review.佩罗特综合征:临床报告与综述
Am J Med Genet. 1988 Nov;31(3):623-9. doi: 10.1002/ajmg.1320310317.
8
The Perrault syndrome: autosomal recessive ovarian dysgenesis with facultative, non-sex-limited sensorineural deafness.佩罗特综合征:常染色体隐性遗传性卵巢发育不全,伴有兼性、非性别限制的感音神经性耳聋。
Am J Med Genet. 1979;4(3):239-46. doi: 10.1002/ajmg.1320040306.