Corona-Rivera Jorge Román, Pérez-Cortés Gustavo, Osuna-Osuna Julieta, Garay-Cortés Marcela Guadalupe, Pérez-Molina J Jesús, Ramírez-Godínez Santa, Peña-Padilla Christian, Rivera-Vargas Jehú, Bobadilla-Morales Lucina
Servicio de Genética, División de Pediatría, Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, México.
Rev Med Inst Mex Seguro Soc. 2016 Mar-Apr;54(2):146-50.
Although the association between the type of idiopathic nephrotic syndrome (INS) and a peculiar pattern of fingerprints digital would suggest the presence of genetic factors related to both, this has not been previously studied. This study aimed to evaluate if there are fingerprints patterns differences between children with steroid-resistant INS (SRNS) and those with steroid-sensitive INS (SSNS).
The frequencies distribution of arches, ulnar loops, radial loops, and whorls was studied in 60 children with SRNS, and 60 children with SSNS. Bivariate analysis to detect the relationship between each fingerprint pattern with the study groups was performed by chi-square test and to evaluate its possible association, the odds ratios (OR) were calculated with 95% confidence's intervals (95%CI).
The patients with SRNS had a higher frequency of digital whorls compared with that of patients with SSNS (46.7% vs. 30.7%, p = 0.005). Additional comparisons using a "whorls excesses" definition obtained from normative data in our population (≥ 7 whorls in females or ≥ 8 in males) were associated with increased odds for SRNS (OR 2.96, 95% CI 1.15-7.61).
Our findings indicate that there are differences between children with SRNS and SSNS at the level of digital dermatoglyphics, but further studies are needed to confirm this association and its possible implications.
尽管特发性肾病综合征(INS)的类型与独特的指纹模式之间的关联表明存在与两者相关的遗传因素,但此前尚未对此进行研究。本研究旨在评估激素抵抗型INS(SRNS)患儿与激素敏感型INS(SSNS)患儿之间指纹模式是否存在差异。
研究了60例SRNS患儿和60例SSNS患儿中弓形纹、尺侧箕纹、桡侧箕纹和斗形纹的频率分布。采用卡方检验进行双变量分析,以检测每种指纹模式与研究组之间的关系,并计算比值比(OR)及其95%置信区间(95%CI)来评估其可能的关联。
与SSNS患儿相比,SRNS患儿的斗形纹频率更高(46.7%对30.7%,p = 0.005)。使用根据我们人群的标准数据得出的“斗形纹过多”定义(女性≥7个斗形纹或男性≥8个斗形纹)进行的额外比较显示,SRNS的患病几率增加(OR 2.96,95%CI 1.15 - 7.61)。
我们的研究结果表明,SRNS患儿和SSNS患儿在手指皮纹水平上存在差异,但需要进一步研究来证实这种关联及其可能的影响。