Saddi Vishal, Thambipillay Ganesh, Pimenta Marina, Martin Bradley, Blecher Gregory, Teng Arthur
Department of Sleep Medicine Sydney Children's Hospital Randwick New South Wales Australia.
School of Women and Children's Health University of New South Wales Sydney New South Wales Australia.
Respirol Case Rep. 2022 Jul 2;10(8):e0999. doi: 10.1002/rcr2.999. eCollection 2022 Aug.
Congenital central hypoventilation syndrome (CCHS) is an autosomal dominant disorder characterized by alveolar hypoventilation and autonomic dysregulation secondary to mutations of the genes. We present five cases from three generations within the same family with varying degrees of phenotypic expression of the gene mutation. The cases were diagnosed following identification of CCHS in index case at birth. This case series underscores the importance of screening first-degree relatives of individuals with confirmed CCHS and alerts the clinicians to maintain a high degree of suspicion in asymptomatic family members given the high degree of phenotypic variability of CCHS.
先天性中枢性低通气综合征(CCHS)是一种常染色体显性疾病,其特征为肺泡低通气以及继发于基因突变的自主神经调节异常。我们展示了来自同一家族三代的五例病例,这些病例具有不同程度的基因突变表型表达。这些病例在出生时通过对索引病例进行CCHS鉴定后得以确诊。该病例系列强调了对确诊CCHS个体的一级亲属进行筛查的重要性,并提醒临床医生鉴于CCHS高度的表型变异性,要对无症状家庭成员保持高度怀疑。