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维尔纳综合征:了解早衰的表型——哥伦比亚首例病例报告

Werner's Syndrome: Understanding the Phenotype of Premature Aging-First Case Described in Colombia.

作者信息

Rincón A, Mora L, Suarez-Obando F, Rojas J A

机构信息

Human Genetics Institute, School of Medicine, Pontifical Xavierian University, Bogotá, Colombia.

San Ignacio University Hospital, Bogotá, Colombia.

出版信息

Case Rep Genet. 2019 Feb 12;2019:8538325. doi: 10.1155/2019/8538325. eCollection 2019.

Abstract

Werner's syndrome (WS) is an autosomal recessive genetic disease, which is mainly characterized by scleroderma-like skin changes, juvenile cataracts, short stature, and signs of premature aging. We report a case of a 48-year-old male patient, who presents with cardinal signs of WS including high-pitched voice, sclerotic skin lesions mainly on feet, premature greying of scalp hair, bilateral cataracts, and "bird-like" facial appearance. In addition, the patient presents other clinical characteristics observed in patients with WS such as short stature, type 2 diabetes mellitus, hypogonadism, parental consanguinity, and a history of a sibling with similar clinical characteristics. gene sequencing identified the homozygous pathogenic variant NM_00553.4: c.2581C>T (NP_000544.2: pGln861Ter). This is the first case of WS reported in the Colombian population. We report this case to avoid misdiagnosis of this infrequent condition and allow timely identification of potential complications associated with premature aging, especially malignancies, cardiovascular and metabolic diseases.

摘要

韦纳综合征(WS)是一种常染色体隐性遗传病,主要特征为硬皮病样皮肤改变、青少年白内障、身材矮小和早衰迹象。我们报告一例48岁男性患者,其具有WS的主要体征,包括嗓音高亢、主要累及足部的硬化性皮肤病变、头皮毛发过早变白、双侧白内障以及“鸟样”面容。此外,该患者还呈现出WS患者中观察到的其他临床特征,如身材矮小、2型糖尿病、性腺功能减退、父母近亲结婚以及有一名具有相似临床特征的兄弟姐妹病史。基因测序鉴定出纯合致病性变异NM_00553.4:c.2581C>T(NP_000544.2:pGln861Ter)。这是哥伦比亚人群中报道的首例WS病例。我们报告此病例是为了避免对这种罕见病症的误诊,并及时识别与早衰相关的潜在并发症,尤其是恶性肿瘤、心血管疾病和代谢性疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9107/6390251/0215b62d4702/CRIG2019-8538325.001.jpg

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