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18号染色体短臂缺失综合征:病例报告及临床思考与处理

18p Deletion Syndrome: Case Report with Clinical Consideration and Management.

作者信息

Goyal Megha, Jain Mayuri, Singhal Sachin, Nandimath Kirty

机构信息

Department of Oral Medicine and Radiology, Maharana Pratap College of Dentistry and Research Centre, Gwalior, Madhya Pradesh, India.

Department of General Pathology, Dr. Lal's Pathology Centre, Gwalior, Madhya Pradesh, India.

出版信息

Contemp Clin Dent. 2017 Oct-Dec;8(4):632-636. doi: 10.4103/ccd.ccd_129_17.

Abstract

18p deletion syndrome is characterized by the deletion of short arm of chromosome 18. Presentation of this syndrome is quite variable with dysmorphic features, growth deficiencies, and mental retardation with poor verbal performance. Few patients even fail to thrive when malformations involving the heart and brain are severe. In the present article, we report an isolated case of 18p deletion in a 23-year-old female who for the first time reported to the hospital for dental problems. The patient was short statured with mental retardation and craniofacial, skeletal, dental, and endocrinal abnormalities. Such presentation warrants prompt diagnosis for effective management. Furthermore, genetic counseling for such patients and their families should be considered as a part of treatment itself.

摘要

18号染色体短臂缺失综合征的特征是18号染色体短臂缺失。该综合征的表现差异很大,具有畸形特征、生长发育迟缓以及语言能力差导致的智力迟钝。当心脏和大脑出现严重畸形时,少数患者甚至无法茁壮成长。在本文中,我们报告了一例23岁女性孤立性18号染色体短臂缺失病例,该患者首次因牙齿问题到医院就诊。患者身材矮小,伴有智力迟钝以及颅面、骨骼、牙齿和内分泌异常。这种表现需要及时诊断以便进行有效治疗。此外,应为这类患者及其家属提供遗传咨询,这应被视为治疗的一部分。

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