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[安特利-比克斯勒综合征临床研究进展]

[Advance in clinical research on Antley-Bixler syndrome].

作者信息

Xie Min, Wang Hongying, Chen Linqi, Li Haibo, Li Hong

机构信息

Center of Reproductive Medicine and Genetics, Suzhou Hospital Affiliated to Nanjing Medical University, Suzhou Municipal Hospital, Suzhou, Jiangsu 215002, China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2018 Apr 10;35(2):280-283. doi: 10.3760/cma.j.issn.1003-9406.2018.02.031.

Abstract

Antley-Bixler syndrome (ABS) is a rare childhood disorder affecting skeletal development. Some patients may also have genital anomalies and impaired steroidogenesis. Diagnostic criteria for ABS has not been fully established, though craniosynostosis, midface hypoplasia and elbow synostosis are minimum requirements. The etiology of ABS is complex, which included autosomal dominant form caused by FGFR2 gene mutations, autosomal recessive form caused by POR gene mutations, and high oral dose of fluconazole during pregnancy. Patients may die from dyspnea due to upper respiratory tract obstruction. This review summarizes research progress on the clinical features, etiology, differential diagnosis, treatment and prevention of ABS.

摘要

安特利-比克斯勒综合征(ABS)是一种影响骨骼发育的罕见儿童疾病。一些患者可能还存在生殖器异常和类固醇生成受损的情况。尽管颅骨缝早闭、面中部发育不全和肘部融合是最低诊断标准,但ABS的诊断标准尚未完全确立。ABS的病因复杂,包括由FGFR2基因突变引起的常染色体显性形式、由POR基因突变引起的常染色体隐性形式以及孕期高剂量口服氟康唑。患者可能因上呼吸道梗阻导致呼吸困难而死亡。本文综述了ABS在临床特征、病因、鉴别诊断、治疗及预防方面的研究进展。

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