Kishi Haruka, Jojima Teruo, Kogai Takahiko, Iijima Toshie, Ohira Eriko, Tanuma Dai, Konno Sachiyo, Kato Kanako, Kezuka Atsumi, Akimoto Kazumi, Sakumoto Junko, Hishinuma Akira, Tomaru Takuya, Makita Noriko, Usui Isao, Aso Yoshimasa
Department of Endocrinology and Metabolism Dokkyo Medical University Mibu, Tochigi Japan.
Department of Infection Control and Clinical Laboratory Medicine Dokkyo Medical University Mibu Shimotsuga, Tochigi Japan.
Clin Case Rep. 2020 Aug 14;8(12):2619-2624. doi: 10.1002/ccr3.3186. eCollection 2020 Dec.
Autosomal dominant hypoparathyroidism, deafness, and renal dysplasia (HDR) syndrome are typically diagnosed by manifestations of the three features with a positive family history. Our case carried a de novo variant in causative gene, but presenting no renal dysplasia or family history. The phenotypic heterogeneity raises a caution for diagnosis.
常染色体显性遗传性甲状旁腺功能减退、耳聋和肾发育异常(HDR)综合征通常根据这三种特征的表现及阳性家族史来诊断。我们的病例在致病基因中存在一个新发变异,但未表现出肾发育异常或家族史。这种表型异质性对诊断提出了警示。