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Feingold 综合征 2 型患者的生长激素缺乏、主动脉扩张和神经认知问题。

Growth hormone deficiency, aortic dilation, and neurocognitive issues in Feingold syndrome 2.

机构信息

McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University, Baltimore, Maryland.

Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.

出版信息

Am J Med Genet A. 2019 Mar;179(3):410-416. doi: 10.1002/ajmg.a.61037. Epub 2019 Jan 23.

Abstract

We report three patients with Feingold 2 syndrome with the novel features of growth hormone deficiency associated with adenohypophyseal compression, aortic dilation, phalangeal joint contractures, memory, and sleep problems in addition to the typical features of microcephaly, brachymesophalangy, toe syndactyly, short stature, and cardiac anomalies. Microdeletions of chromosome 13q that include the MIR17HG gene were found in all three. One of the patients was treated successfully with growth hormone. In addition to expanding the phenotype of Feingold 2 syndrome, we suggest management of patients with Feingold 2 syndrome include echocardiography at the time of diagnosis in all patients and consideration of evaluation for growth hormone deficiency in patients with short stature.

摘要

我们报告了三例 Feingold 2 综合征患者,具有新的特征,包括生长激素缺乏症与腺垂体受压、主动脉扩张、指关节挛缩、记忆和睡眠问题相关,此外还有典型的特征,如小头畸形、短指畸形、趾并指畸形、身材矮小和心脏异常。所有三例患者均发现 13q 染色体微缺失,包括 MIR17HG 基因。其中一名患者接受生长激素治疗后成功。除了扩展 Feingold 2 综合征的表型外,我们建议对所有患者在诊断时进行心脏超声检查,并考虑对身材矮小的患者进行生长激素缺乏症的评估。

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