Sadeghi Salva, Shevell Michael
Department of Pediatric Neurology, McGill University, Montreal, Quebec, Canada.
Departments of Pediatrics and Neurology/Neurosurgery, McGill University, Montreal, Quebec, Canada.
Semin Pediatr Neurol. 2018 Jul;26:60-62. doi: 10.1016/j.spen.2017.03.007. Epub 2017 Apr 1.
In patients presenting with global developmental day, eliciting a history of consanguinity may increase a clinician׳s bias toward suspecting an autosomal recessive etiology. We present 3 cases wherein children of consanguineous parents presented to the pediatric neurology clinic for evaluation and potential diagnosis of the cause of global developmental delay. The outcome of the investigations in each case demonstrate the need to follow established guidelines for appropriate genetic testing as they pertain to the patient׳s presentation rather than a single element of the history (ie, consanguinity).
在患有全面发育迟缓的患者中,询问近亲结婚史可能会增加临床医生怀疑常染色体隐性病因的倾向。我们报告3例近亲结婚父母的孩子到儿科神经科门诊进行评估及可能的全面发育迟缓病因诊断的病例。每个病例的调查结果表明,需要遵循既定的适当基因检测指南,这些指南应基于患者的临床表现,而非病史中的单一因素(即近亲结婚)。