Knipe Megan, Stanbury Rowan, Unger Sheila, Chakraborty Mallinath
University Hospital of Wales, Cardiff, UK.
University of Lausanne, Lausanne, Switzerland.
BMJ Case Rep. 2015 Aug 30;2015:bcr2015212032. doi: 10.1136/bcr-2015-212032.
We describe a female infant born at term to consanguineous parents, with a suspicion of skeletal dysplasia in utero. At birth, she had short limbs, camptodactyly, dysphagia leading to nasogastric tube feeds, and skeletal survey demonstrating dysplasia of long bones and spine. During infancy, she also developed episodes of respiratory failure necessitating admission to intensive care, and periods of hyperhidrosis managed at home. A basic genetic screen did not reveal any abnormalities. Contact was made with the European Skeletal Dysplasia Network, and a provisional diagnosis of Stuve-Wiedemann syndrome was suggested based on this review. Specific genetic tests showed a previously unreported homozygous mutation of leukaemia inhibitory factor receptor gene, confirming the diagnosis. This is the first case with a novel mutation, reported from the UK. For paediatricians and neonatologists, the European Skeletal Dysplasia Network is a valuable resource to reach a specific diagnosis.
我们描述了一名足月出生的女婴,其父母为近亲结婚,在子宫内就怀疑有骨骼发育异常。出生时,她四肢短小、手指弯曲、吞咽困难,需通过鼻饲管喂养,骨骼检查显示长骨和脊柱发育异常。婴儿期,她还出现了呼吸衰竭发作,需要入住重症监护病房,以及在家中处理的多汗期。基本的基因筛查未发现任何异常。与欧洲骨骼发育异常网络取得了联系,并根据此次评估提出了斯图夫 - 维德曼综合征的初步诊断。特定的基因检测显示白血病抑制因子受体基因存在一个此前未报道的纯合突变,从而确诊。这是英国报道的首例具有新突变的病例。对于儿科医生和新生儿科医生而言,欧洲骨骼发育异常网络是达成特定诊断的宝贵资源。