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近亲结婚出生的丑角样鱼鳞病胎儿:一例有害病例报告。

Harlequin fetus born from Consanguinity: A deleterious case report.

作者信息

Devnani Joti, Kumari Ujalla

机构信息

Joti Devnani, Ziauddin Medical College, Ziauddin University, Karachi, Pakistan.

Ujalla Kumari, Ziauddin Medical College, Ziauddin University, Karachi, Pakistan.

出版信息

Pak J Med Sci. 2019 Sep-Oct;35(5):1472-1474. doi: 10.12669/pjms.35.5.916.

DOI:10.12669/pjms.35.5.916
PMID:31489029
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6717440/
Abstract

Harlequin Ichthyosis (HI) is a dreadful skin disorder with steady rise of cases with prolonged survival. Harlequin fetus follows an autosomal recessive pattern with the incidence of 1in 300,000 live births. In the succeeding case report, a male child was born with keratinized and kaleidoscopic diamond pattern of skin suggestive of HI. He was born at 36th week of gestation from consanguineous marriage. The newborn remained under extensive intensive care in a tertiary care unit where he breathed his last on 11th day after birth. Prenatal diagnosis and genetic counseling is of vital importance due to the association of mutation with HI.

摘要

丑角鱼鳞病(HI)是一种可怕的皮肤疾病,随着患者生存期延长,病例数稳步上升。丑角胎儿遵循常染色体隐性遗传模式,活产发病率为1/300000。在接下来的病例报告中,一名男婴出生时皮肤呈角质化和万花筒状菱形图案,提示为丑角鱼鳞病。他在妊娠第36周时由近亲结婚的父母所生。新生儿在三级护理病房接受了广泛的重症监护,于出生后第11天死亡。由于突变与丑角鱼鳞病相关,产前诊断和遗传咨询至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a41d/6717440/ccb6d4b9f153/PJMS-35-1472-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a41d/6717440/cb782ac72e9e/PJMS-35-1472-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a41d/6717440/ccb6d4b9f153/PJMS-35-1472-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a41d/6717440/cb782ac72e9e/PJMS-35-1472-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a41d/6717440/ccb6d4b9f153/PJMS-35-1472-g002.jpg

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本文引用的文献

1
[Harlequin phenomenon associated with neurological abnormalities: A case report].[与神经异常相关的丑角现象:一例报告]
Ann Dermatol Venereol. 2016 May;143(5):369-71. doi: 10.1016/j.annder.2016.01.007. Epub 2016 Mar 24.
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Harlequin Ichthyosis: Prenatal Diagnosis of a Rare Yet Severe Genetic Dermatosis.丑角样鱼鳞病:一种罕见但严重的遗传性皮肤病的产前诊断
J Clin Diagn Res. 2015 Nov;9(11):QD04-6. doi: 10.7860/JCDR/2015/15250.6705. Epub 2015 Nov 1.
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Recent advances in the genetics and management of harlequin ichthyosis.丑角鱼鳞病的遗传学与治疗进展
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Harlequin ichthyosis: a case report.丑角样鱼鳞病:一例病例报告。
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Autosomal recessive congenital ichthyosis.常染色体隐性先天性鱼鳞病
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Harlequin ichthyosis: a review of clinical and molecular findings in 45 cases.丑角样鱼鳞病:45例临床及分子学研究结果综述
Arch Dermatol. 2011 Jun;147(6):681-6. doi: 10.1001/archdermatol.2011.9. Epub 2011 Feb 21.
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Prenatal exclusion of harlequin ichthyosis; potential pitfalls in the timing of the fetal skin biopsy.产前排除丑角样鱼鳞病;胎儿皮肤活检时机的潜在陷阱。
Br J Dermatol. 2005 Oct;153(4):811-4. doi: 10.1111/j.1365-2133.2005.06778.x.
9
Mutations in lipid transporter ABCA12 in harlequin ichthyosis and functional recovery by corrective gene transfer.丑角样鱼鳞病中脂质转运蛋白ABCA12的突变及通过矫正基因转移实现功能恢复
J Clin Invest. 2005 Jul;115(7):1777-84. doi: 10.1172/JCI24834.
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Harlequin ichthyosis unmasked: a defect of lipid transport.丑角样鱼鳞病的真相:脂质转运缺陷
J Clin Invest. 2005 Jul;115(7):1708-10. doi: 10.1172/JCI25736.