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代谢综合征与成人 Léri-Weill 软骨发育不全并存:病例报告。

Metabolic syndrome coexists with adult Léri-Weill dyschondrosteosis: A case report.

机构信息

Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.

Department of Endocrinology and Metabolism, Institute of Endocrinology, Liaoning Provincial Key Laboratory of Endocrine Diseases, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China.

出版信息

J Diabetes Investig. 2021 Mar;12(3):446-449. doi: 10.1111/jdi.13350. Epub 2020 Aug 6.

Abstract

Léri-Weill dyschondrosteosis (LWD) is usually caused by haploinsufficiency of the short stature homeobox-containing gene (SHOX). The clinical manifestation of this disease is a classic triad, which are short stature, mesomelia and Madelung deformity. LWD also includes other features, such as high body mass index. Short stature and high body mass index are risk factors of type 2 diabetes mellitus and cardiovascular disease; however, LWD combined with type 2 diabetes mellitus or metabolic syndrome have not been described in the literature. In this article, we report a case of LWD caused by an M1T mutation of the start codon of the SHOX gene. The patient also had type 2 diabetes mellitus, hypertension and dyslipidemia. It is suggested that patients with LWD should be identified promptly, and the prevention and treatment of metabolic diseases and cardiovascular disease should be taken into consideration in patients with LWD.

摘要

Léri-Weill 软骨发育不全症(Léri-Weill dyschondrosteosis,LWD)通常由短身材同源盒基因(short stature homeobox-containing gene,SHOX)单倍体不足引起。该疾病的临床表现为经典三联征,即身材矮小、骨干中段发育不良和马德隆畸形。LWD 还包括其他特征,如高身体质量指数。身材矮小和高身体质量指数是 2 型糖尿病和心血管疾病的危险因素;然而,文献中并未描述 LWD 合并 2 型糖尿病或代谢综合征。本文报道了一例 SHOX 基因起始密码子 M1T 突变引起的 LWD 病例。该患者还患有 2 型糖尿病、高血压和血脂异常。提示 LWD 患者应及时识别,并在 LWD 患者中考虑代谢性疾病和心血管疾病的预防和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c41f/7926226/b842bf1feb45/JDI-12-446-g001.jpg

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