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伴有异位钙化的假性甲状旁腺功能减退症与22q11缺失综合征:1例罕见病例

Pseudohypoparathyroidism with Ectopic Calcification and 22q11 Deletion Syndrome: A Rare Case.

作者信息

Diniz Bruna Lixinski, Glaeser Andressa Barreto, Deconte Desirée, Guaraná Bruna Baierle, Rosa Rafael Fabiano Machado, Zen Paulo Ricardo Gazzola

机构信息

Graduate Program in Pathology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Brazil.

Department of Internal Medicine, Clinical Genetics, UFCSPA and Irmandade Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Porto Alegre, Brazil.

出版信息

J Pediatr Genet. 2021 Mar;10(1):45-48. doi: 10.1055/s-0040-1701640. Epub 2020 Feb 12.

Abstract

Ectopic calcification in soft tissue is associated with several disorders including pseudohypoparathyroidism (PHP), which is characterized by resistance or nonresponse to parathyroid hormone (PTH) function. Association between PHP and 22q11DS, also known as DiGeorge syndrome, is rare, especially in children. We describe a newborn girl diagnosed with 22q11DS, presenting ectopic calcifications in soft tissue and suspicion of PHP. PTH function showed values close to the upper limit of the reference value. Radiology showed bone callus in the right wrist. PHP can be a new clinical finding associated with 22q11DS. Parathyroid function investigation in individuals with 22q11DS, presenting bone dysmorphisms and/or calcium metabolism alterations, should be considered.

摘要

软组织中的异位钙化与多种疾病相关,包括假性甲状旁腺功能减退症(PHP),其特征是对甲状旁腺激素(PTH)功能有抵抗或无反应。PHP与22q11缺失综合征(也称为迪乔治综合征)之间的关联很少见,尤其是在儿童中。我们描述了一名被诊断为22q11缺失综合征的新生儿女孩,她出现软组织异位钙化并疑似患有PHP。PTH功能显示的值接近参考值的上限。放射学检查显示右手腕有骨痂。PHP可能是与22q11缺失综合征相关的一种新的临床发现。对于出现骨骼畸形和/或钙代谢改变的22q11缺失综合征患者,应考虑进行甲状旁腺功能检查。

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