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一名5岁男孩及其母亲和祖母出现弥漫性、斑点状色素沉着过度以及LMNA基因变异:非典型早老样综合征。

Diffuse, mottled hyperpigmentation and mutations in LMNA gene in a 5-year-old boy, his mother, and his grandmother: Atypical progeroid syndrome.

作者信息

Schultz Brittney, Miller Daniel D, Maguiness Sheilagh

机构信息

Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.

Department of Internal Medicine, University of Minnesota, Minneapolis, Minnesota.

出版信息

Pediatr Dermatol. 2019 Nov;36(6):913-917. doi: 10.1111/pde.13917. Epub 2019 Aug 4.

DOI:10.1111/pde.13917
PMID:31378009
Abstract

We present a multigenerational family with a phenotypic spectrum of skin dyspigmentation, lipodystrophy, bony anomalies, and progeroid facies. All were found to be heterozygous for a c.11C>G (p.Pro4Arg) (P4R) mutation in the lamin A/C gene consistent with atypical progeroid syndrome. Various phenotypic associations have been reported with specific mutations in atypical progeroid syndrome, but the strength of each phenotype-genotype relationship is unknown. This report adds to the literature of patients with atypical progeroid syndrome and highlights an unusual diagnosis that may present to dermatologists.

摘要

我们展示了一个具有皮肤色素沉着异常、脂肪营养不良、骨骼异常和早老样面容等一系列表型的多代家族。所有成员均被发现 lamin A/C 基因存在 c.11C>G(p.Pro4Arg)(P4R)突变的杂合子,这与非典型早老综合征一致。已有报道非典型早老综合征的特定突变存在各种表型关联,但每种表型 - 基因型关系的强度尚不清楚。本报告丰富了非典型早老综合征患者的文献,并突出了一种可能会出现在皮肤科医生面前的不寻常诊断。

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Genes (Basel). 2024 Jan 18;15(1):112. doi: 10.3390/genes15010112.
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Deciphering the Clinical Presentations in LMNA-related Lipodystrophy: Report of 115 Cases and a Systematic Review.解读与LMNA相关脂肪营养不良的临床表现:115例报告及系统评价
J Clin Endocrinol Metab. 2024 Feb 20;109(3):e1204-e1224. doi: 10.1210/clinem/dgad606.
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Case report: Focal segmental glomerulosclerosis in a pediatric atypical progeroid syndrome.
病例报告:小儿非典型早老综合征中的局灶节段性肾小球硬化症
Front Pediatr. 2022 Oct 31;10:1032653. doi: 10.3389/fped.2022.1032653. eCollection 2022.