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心面综合征的一般处理方法:1例合并法洛四联症的儿科病例

General approach to velocardiofacial anomalies: a pediatric case presenting with Fallot tetralogy.

作者信息

Karaagac Aysu Turkmen, Yildirim Ayse Inci

机构信息

Department of Pediatrics, Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey.

Department of Pediatric Cardiology, Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey.

出版信息

North Clin Istanb. 2015 Jan 24;1(3):182-186. doi: 10.14744/nci.2014.04695. eCollection 2014.

DOI:10.14744/nci.2014.04695
PMID:28058329
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5175041/
Abstract

Velocardiofacial syndrome (VCFS), also known as "Shprintzen syndrome" or "22q11.2 deletion syndrome" is an autosomal dominant genetic disorder with a wide range of phenotypical findings. It is majorly characterized by cleft palate, dysmorphic face, conotruncal cardiac anomalies, growth retardation, neurologic disorders and learning disabilities. Our case was the first child of her family and she had a cleft palate, dysmorphic face, tetralogy of Fallot (TOF), growth retardation and a mild neuromotor developmental delay. It is important to recognize this syndrome and inform the family about the probable future health problems of their babies as early as possible. Genetic counselling is crucial for the subsequent pregnancies. Therefore, we wanted to review the literature about the differential diagnosis and genetics of velocardiofacial anomalies.

摘要

腭心面综合征(VCFS),也被称为“施普林曾综合征”或“22q11.2缺失综合征”,是一种常染色体显性遗传病,具有广泛的表型表现。其主要特征为腭裂、面部畸形、圆锥动脉干心脏异常、生长发育迟缓、神经障碍和学习障碍。我们的病例是其家族中的第一个孩子,她患有腭裂、面部畸形、法洛四联症(TOF)、生长发育迟缓以及轻度神经运动发育迟缓。认识到这种综合征并尽早告知家庭其婴儿未来可能出现的健康问题非常重要。遗传咨询对于后续妊娠至关重要。因此,我们希望回顾有关腭心面异常的鉴别诊断和遗传学的文献。

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1
General approach to velocardiofacial anomalies: a pediatric case presenting with Fallot tetralogy.心面综合征的一般处理方法:1例合并法洛四联症的儿科病例
North Clin Istanb. 2015 Jan 24;1(3):182-186. doi: 10.14744/nci.2014.04695. eCollection 2014.
2
Anal anomalies: an uncommon feature of velocardiofacial (Shprintzen) syndrome?肛门异常:心面综合征(施普林岑综合征)的一种罕见特征?
J Med Genet. 1997 Jan;34(1):79-82. doi: 10.1136/jmg.34.1.79.
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Shprintzen (velo-cardio-facial) syndrome: a rare case.施普林曾(面心综合征)综合征:1例罕见病例。
ASAIO J. 2006 Nov-Dec;52(6):e33-4. doi: 10.1097/01.mat.0000249036.00121.42.
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[An Adult Case of 22q11.2 Deletion Syndrome with Congenital Abnormalities and Neurodevelopmental Disorders, Which Remained Undiagnosed Until Presentation of Auditory Hallucinations].[一例22q11.2缺失综合征成年病例,伴有先天性异常和神经发育障碍,直至出现幻听才得以诊断]
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[3 children with velocardiofacial (Shprintzen) syndrome].3例患有腭心面(施普林曾)综合征的儿童
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22q11.2 deletion syndrome: DiGeorge, velocardiofacial, and conotruncal anomaly face syndromes.22q11.2缺失综合征:迪格奥尔格综合征、腭心面综合征和圆锥动脉干异常面容综合征。
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Di George anomaly and velocardiofacial syndrome.迪格奥尔格综合征与腭心面综合征
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CATCH 22: deletion of locus 22q11 in velocardiofacial syndrome, DiGeorge anomaly, and nonsyndromic conotruncal defects.第22号染色体异常:腭心面综合征、迪格奥尔格综合征及非综合征性圆锥动脉干畸形中22q11位点的缺失
J Formos Med Assoc. 1997 Jun;96(6):419-23.

本文引用的文献

1
Submucous cleft palate: an often-missed diagnosis.黏膜下腭裂:一种常被漏诊的疾病。
J Craniofac Surg. 2013 May;24(3):878-85. doi: 10.1097/SCS.0b013e31827fef4b.
2
Clinical manifestations of Deletion 22q11.2 syndrome (DiGeorge/Velo-Cardio-Facial syndrome).22q11.2缺失综合征(迪格奥尔格/心脏-颜面综合征)的临床表现
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Utilization of three-dimensional computed tomography for craniofacial phenotypic analysis in children with velocardiofacial syndrome.三维计算机断层扫描在腭心面综合征患儿颅面表型分析中的应用
J Craniofac Surg. 2009 Nov;20(6):2013-9. doi: 10.1097/SCS.0b013e3181bd2e34.
4
Advanced imaging of the cervical spine and spinal cord in 22q11.2 deletion syndrome: age-matched, double-cohort, controlled study.22q11.2缺失综合征患者颈椎和脊髓的高级影像学检查:年龄匹配的双队列对照研究
J Child Orthop. 2008 Oct;2(5):333-41. doi: 10.1007/s11832-008-0129-6. Epub 2008 Sep 11.
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Outcome of velopharyngoplasty in patients with velocardiofacial syndrome.腭心面综合征患者行腭咽成形术的结果
Arch Otolaryngol Head Neck Surg. 2008 Nov;134(11):1159-64. doi: 10.1001/archotol.134.11.1159.
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Cardiac defects and results of cardiac surgery in 22q11.2 deletion syndrome.22q11.2缺失综合征的心脏缺陷及心脏手术结果
Dev Disabil Res Rev. 2008;14(1):35-42. doi: 10.1002/ddrr.6.
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Velo-cardio-facial syndrome: 30 Years of study.腭心面综合征:30年研究历程
Dev Disabil Res Rev. 2008;14(1):3-10. doi: 10.1002/ddrr.2.
8
Detection of 22q11.2 deletion among 139 patients with Di George/Velocardiofacial syndrome features.139例具有Di George/腭心面综合征特征患者中22q11.2缺失的检测
In Vivo. 2004 Sep-Oct;18(5):603-8.
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Somatic mosaicism in patients with Angelman syndrome and an imprinting defect.
Hum Mol Genet. 2004 Nov 1;13(21):2547-55. doi: 10.1093/hmg/ddh296. Epub 2004 Sep 22.
10
Laterality of the aortic arch and anomalies of the subclavian artery-reliable indicators for 22q11.2 deletion syndromes?主动脉弓的左右侧性及锁骨下动脉异常——22q11.2缺失综合征的可靠指标?
Eur J Pediatr. 2004 Nov;163(11):642-5. doi: 10.1007/s00431-004-1518-6. Epub 2004 Aug 6.