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来自台湾的携带致病变异的维德曼-施泰纳综合征。

Wiedemann-Steiner Syndrome with a Pathogenic Variant in from Taiwan.

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, Taipei 10449, Taiwan.

Institute of Clinical Medicine, National Yang-Ming Chiao-Tung University, Taipei 11221, Taiwan.

出版信息

Children (Basel). 2021 Oct 22;8(11):952. doi: 10.3390/children8110952.

Abstract

Wiedemann-Steiner syndrome (WSS) is a rare genetic disorder. Patients with WSS have characteristics of growth retardation, facial dysmorphism, hypertrichosis cubiti (HC), and neurodevelopmental delays. WSS is in an autosomal dominant inherited pattern caused by a mutation of the gene (NM_001197104.2). In this article, we discuss a 5-year-old boy who has mild intellectual disability (ID), hypotonia, HC, hypertrichosis on the back, dysmorphic facies, psychomotor retardation, and growth delay. Trio-based whole-exome sequencing (trio-WES) was carried out on this patient and his parents, confirming the variants with Sanger sequencing. Trio-WES showed a de novo mutation of the gene (NM_001197104.2: c.4696G>A, p.Gly1566Arg). On the basis of the clinical features and the results of the WES, WSS was diagnosed. Therefore, medical professionals should consider a diagnosis of WSS if patients have growth retardation and development delay as well as hirsutism, particularly HC.

摘要

维德曼-施泰纳综合征(WSS)是一种罕见的遗传性疾病。WSS患者具有生长发育迟缓、面部畸形、肘部多毛症(HC)和神经发育迟缓等特征。WSS呈常染色体显性遗传模式,由该基因(NM_001197104.2)突变引起。在本文中,我们讨论了一名5岁男孩,他有轻度智力障碍(ID)、肌张力低下、HC、背部多毛症、面部畸形、精神运动发育迟缓以及生长发育迟缓。对该患者及其父母进行了基于三联体的全外显子测序(三联体-WES),并用桑格测序法确认了变异。三联体-WES显示该基因(NM_001197104.2:c.4696G>A,p.Gly1566Arg)存在新发突变。根据临床特征和WES结果,诊断为WSS。因此,如果患者有生长发育迟缓和发育延迟以及多毛症,特别是HC,医学专业人员应考虑诊断为WSS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e77/8620998/7e1e977d17ce/children-08-00952-g001.jpg

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