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台湾一名男孩首例SHORT综合征:病例报告及文献复习

The first SHORT syndrome in a Taiwanese boy: A case report and review of the literature.

作者信息

Lee Chung-Lin, Chuang Chih-Kuang, Chiu Huei-Ching, Tu Ru-Yi, Lo Yun-Ting, Chang Ya-Hui, Lin Hsiang-Yu, Lin Shuan-Pei

机构信息

Department of Pediatrics, MacKay Memorial Hospital, Hsinchu, Taiwan.

Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.

出版信息

Mol Genet Metab Rep. 2021 May 7;27:100768. doi: 10.1016/j.ymgmr.2021.100768. eCollection 2021 Jun.

Abstract

SHORT syndrome is a rare, multisystem disease named with the acronym arising from hort stature, yperextensibility of joints, cular depression, ieger anomaly, and eething delay. Metabolic anomalies such as insulin resistance and diabetes are also present. This disease is related to heterozygous variants in the and is inherited in an autosomal-dominant manner. In this case report, we present a Taiwanese boy with SHORT syndrome who had growth retardation and dysmorphic features, including a triangular face, prominent forehead, and small chin. We performed anthropometric and laboratory measurements and imaging examinations. We noted no insulin resistance or diabetes. We performed whole exome and Sanger sequencing and confirmed the underlying genetic variant, detecting a heterozygous variant of (NM_181523.3) (c.1945C > T). In a family survey, his parents indicated no similar clinical symptoms and no gene variant. This case is the first SHORT syndrome in Taiwan. Specific facial dysmorphisms of this case help us confirm the diagnosis with timely genetic testing and then we can provide appropriate management and proper care.

摘要

SHORT综合征是一种罕见的多系统疾病,其名称首字母缩写来自身材矮小(hort stature)、关节过度伸展(yperextensibility of joints)、眼球凹陷(cular depression)、手指异常(ieger anomaly)和出牙延迟(eething delay)。还存在胰岛素抵抗和糖尿病等代谢异常。这种疾病与[具体基因名称缺失]中的杂合变异有关,以常染色体显性方式遗传。在本病例报告中,我们介绍了一名患有SHORT综合征的台湾男孩,他有生长发育迟缓及畸形特征,包括三角脸、额头突出和下巴小。我们进行了人体测量、实验室检测和影像学检查。我们未发现胰岛素抵抗或糖尿病。我们进行了全外显子组测序和桑格测序,并确认了潜在的基因变异,检测到[具体基因名称缺失](NM_181523.3)的一个杂合变异(c.1945C>T)。在家族调查中,他的父母表示没有类似的临床症状和基因变异。该病例是台湾首例SHORT综合征。该病例特定的面部畸形有助于我们通过及时的基因检测来确诊,进而能够提供适当的管理和护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f04/8122109/9bf8c6da9619/gr1.jpg

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