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三例分子确诊的 Knobloch 综合征。

Three cases of molecularly confirmed Knobloch syndrome.

机构信息

Department of Ophthalmology, University Hospital Leuven, Leuven, Belgium.

Department of Ophthalmology, Children Hospital Queen Fabiola, Brussels, Belgium.

出版信息

Ophthalmic Genet. 2020 Feb;41(1):83-87. doi: 10.1080/13816810.2020.1737948. Epub 2020 Mar 17.

DOI:10.1080/13816810.2020.1737948
PMID:32178553
Abstract

Knobloch syndrome (OMIM 267750) is a rare autosomal recessive disorder due to genetic defects in the gene. The triad of high myopia, occipital defect, vitreoretinal degeneration has been described as pathognomonic for this condition. Patients with Knobloch syndrome have also extraocular problems as brain and kidney malformations. High genetic and phenotypic variation has been reported in the affected patients. Here we provide detailed clinical description of 3 individuals with Knobloch syndrome. Ocular examination and fundus imaging have been performed. Detailed information about systemic conditions has been provided. Mutations in were identified in all three patients. Patient 1 had congenital hip dislocation and patient 2 had renal atrophy, cardiac insufficiency and difficult skin healing. With this report we add to the clinical and genetic knowledge of this rare condition.

摘要

诺布洛克综合征(OMIM 267750)是一种罕见的常染色体隐性遗传病,由 基因突变引起。高度近视、枕骨缺损、玻璃体视网膜变性三联征已被描述为该疾病的特征性表现。诺布洛克综合征患者还存在脑和肾脏畸形等眼部以外的问题。据报道,受影响的患者存在高度的遗传和表型变异。在这里,我们提供了 3 名诺布洛克综合征患者的详细临床描述。进行了眼部检查和眼底成像。提供了有关全身状况的详细信息。在所有 3 名患者中均发现了 基因突变。患者 1 患有先天性髋关节脱位,患者 2 患有肾萎缩、心脏功能不全和皮肤愈合困难。通过本报告,我们增加了对这种罕见疾病的临床和遗传认识。

相似文献

1
Three cases of molecularly confirmed Knobloch syndrome.三例分子确诊的 Knobloch 综合征。
Ophthalmic Genet. 2020 Feb;41(1):83-87. doi: 10.1080/13816810.2020.1737948. Epub 2020 Mar 17.
2
Knobloch Syndrome Associated with Novel Variants in Chinese Population.中国人中与诺布洛克综合征相关的新型变异。
Genes (Basel). 2021 Sep 26;12(10):1512. doi: 10.3390/genes12101512.
3
Knobloch syndrome in a patient from Chile.智利患者的诺布洛克综合征。
Am J Med Genet A. 2020 Oct;182(10):2239-2242. doi: 10.1002/ajmg.a.61760. Epub 2020 Jul 22.
4
Brain malformations associated with Knobloch syndrome--review of literature, expanding clinical spectrum, and identification of novel mutations.与诺布洛克综合征相关的脑畸形——文献综述、临床谱扩展及新突变的鉴定
Pediatr Neurol. 2014 Dec;51(6):806-813.e8. doi: 10.1016/j.pediatrneurol.2014.08.025. Epub 2014 Sep 4.
5
A phenotypic variant of Knobloch syndrome.诺布洛克综合征的一种表型变异型。
Ophthalmic Genet. 2008 Jun;29(2):85-6. doi: 10.1080/13816810701850041.
6
Variable phenotype of Knobloch syndrome due to biallelic mutations in children.儿童双侧等位基因突变导致 Knobloch 综合征表型多变。
Eur J Ophthalmol. 2021 Nov;31(6):3349-3354. doi: 10.1177/1120672120977343. Epub 2020 Nov 25.
7
Molecular and Clinical Findings in Patients With Knobloch Syndrome.结节性硬化症患者的分子和临床特征。
JAMA Ophthalmol. 2016 Jul 1;134(7):753-62. doi: 10.1001/jamaophthalmol.2016.1073.
8
The distinct ophthalmic phenotype of Knobloch syndrome in children.儿童型诺布洛克综合征的独特眼部表型。
Br J Ophthalmol. 2012 Jun;96(6):890-5. doi: 10.1136/bjophthalmol-2011-301396. Epub 2012 Mar 7.
9
Knobloch syndrome: novel mutations in COL18A1, evidence for genetic heterogeneity, and a functionally impaired polymorphism in endostatin.诺布罗赫综合征:COL18A1基因的新突变、遗传异质性证据以及内皮抑素功能受损的多态性
Hum Mutat. 2004 Jan;23(1):77-84. doi: 10.1002/humu.10284.
10
Collagen XVIII mutation in Knobloch syndrome with acute lymphoblastic leukemia.Knobloch 综合征伴发急性淋巴细胞白血病的 XVIII 型胶原基因突变。
Am J Med Genet A. 2010 Nov;152A(11):2875-9. doi: 10.1002/ajmg.a.33621.

引用本文的文献

1
Hereditary Vitreoretinopathies: Molecular Diagnosis, Clinical Presentation and Management.遗传性玻璃体视网膜病变:分子诊断、临床表现与管理
Clin Exp Ophthalmol. 2025 Apr;53(3):281-291. doi: 10.1111/ceo.14494. Epub 2025 Jan 21.
2
Collagen formation, function and role in kidney disease.胶原蛋白在肾脏疾病中的形成、功能及作用
Nat Rev Nephrol. 2025 Mar;21(3):200-215. doi: 10.1038/s41581-024-00902-5. Epub 2024 Nov 15.
3
Clinical and Molecular Findings in Patients with Knobloch Syndrome 1: Case Series Report.Knobloch 综合征 1 型患者的临床和分子学特征:病例系列报告。
Genes (Basel). 2024 Oct 1;15(10):1295. doi: 10.3390/genes15101295.
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Genetic heterogeneity in epilepsy and comorbidities: insights from Pakistani families.遗传性癫痫及其合并症的异质性:来自巴基斯坦家庭的见解。
BMC Neurol. 2024 May 23;24(1):172. doi: 10.1186/s12883-024-03671-7.
5
Knobloch Syndrome in Siblings with Posterior Fossa Malformations Along with Cerebellar Midline Cleft Abnormality Caused by Biallelic Mutation: Case-Based Review.双等位基因突变导致后颅窝畸形伴小脑中线裂畸形的同胞患诺布罗赫综合征:病例回顾
J Pediatr Genet. 2020 Dec 10;12(1):58-63. doi: 10.1055/s-0040-1721073. eCollection 2023 Mar.
6
Case Report: Novel Biallelic Variants in the Gene in a Chinese Family With Knobloch Syndrome.病例报告:一个患有诺布洛赫综合征的中国家庭中该基因的新型双等位基因变异。
Front Neurol. 2022 May 26;13:853918. doi: 10.3389/fneur.2022.853918. eCollection 2022.
7
Knobloch Syndrome Associated with Novel Variants in Chinese Population.中国人中与诺布洛克综合征相关的新型变异。
Genes (Basel). 2021 Sep 26;12(10):1512. doi: 10.3390/genes12101512.
8
An Early Diagnostic Clue for and Associated Diseases: High Myopia With Alopecia Areata in the Cranial Midline.一种早期诊断线索及其相关疾病:伴有颅中线斑秃的高度近视。
Front Cell Dev Biol. 2021 Jun 25;9:644947. doi: 10.3389/fcell.2021.644947. eCollection 2021.