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巴德-比德尔综合征的产前诊断:一例报告

Prenatal diagnosis of Bardet Biedl Syndrome: A case report.

作者信息

Arora Ena, Fuks Aleksandr, Meyer Jessica, Chervenak Judith

机构信息

Department of Obstetrics and Gynecology, Icahn School of Medicine at Mount Sinai (NYC Health + Hospitals/Queens), 75-25,153rd street, kew garden hills, New York, NY 11367, USA.

Department of Obstetrics and Gynecology, New York University Langone Health, New York, NY, USA.

出版信息

Radiol Case Rep. 2022 Nov 14;18(1):326-330. doi: 10.1016/j.radcr.2022.10.040. eCollection 2023 Jan.

DOI:10.1016/j.radcr.2022.10.040
PMID:36406960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9668600/
Abstract

The Bardet-Biedl Syndrome (BBS), also called Laurence-Moon-Bardet-Biedl syndrome is a rare ciliopathic autosomal recessive genetic defect. BBS phenotype develops over the years and diagnosis is usually made in late childhood or early adulthood. Prenatal diagnosis is rare in absence of family history or consanguinity. The major features of this syndrome are cone-rod dystrophy, obesity, polydactyly, learning disabilities, hypogonadism in males, renal anomalies, nystagmus, speech disorders, developmental delay and ataxia. At least 20 BBS genes have been identified and all are involved in primary cilia functioning. Genetic diagnosis includes multigene sequencing technologies. Clinical management includes symptomatic treatment. In our case report, we present a case of a baby born to parents of Bengali Asian ancestry with high clinical suspicion of BBS based on fetal magnetic resonance imaging findings done during antepartum surveillance.

摘要

巴德-比德尔综合征(BBS),也称为劳伦斯-穆恩-巴德-比德尔综合征,是一种罕见的常染色体隐性遗传性纤毛病。BBS表型会随着时间发展,诊断通常在儿童晚期或成年早期做出。在没有家族病史或近亲结婚的情况下,产前诊断很少见。该综合征的主要特征包括锥杆营养不良、肥胖、多指(趾)畸形、学习障碍、男性性腺功能减退、肾脏异常、眼球震颤、言语障碍、发育迟缓及共济失调。至少已鉴定出20个BBS基因,所有这些基因都参与初级纤毛的功能。基因诊断包括多基因测序技术。临床管理包括对症治疗。在我们的病例报告中,我们呈现了一例父母为孟加拉亚裔血统的婴儿,基于产前监测期间进行的胎儿磁共振成像结果,高度怀疑其患有BBS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5691/9668600/86c2dd2ffee6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5691/9668600/f34ef964945c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5691/9668600/86c2dd2ffee6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5691/9668600/f34ef964945c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5691/9668600/86c2dd2ffee6/gr2.jpg

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本文引用的文献

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Bardet-Biedl Syndrome-Multiple Kaleidoscope Images: Insight into Mechanisms of Genotype-Phenotype Correlations.Bardet-Biedl 综合征-多种万花筒图像:对基因型-表型相关性机制的深入了解。
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Ciliopathies: Coloring outside of the lines.纤毛病:越界的色素沉着。
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巴德-比德尔综合征作为一种伴侣蛋白病:剖析类伴侣蛋白BBS蛋白(BBS6 - BBS10 - BBS12)的主要作用
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Obesity control and low protein diet preserve or even improve renal functions in Bardet-Biedl syndrome: a report of two cases.肥胖控制和低蛋白饮食可维持甚至改善 Bardet-Biedl 综合征的肾功能:两例报告。
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Ciliary biology: understanding the cellular and genetic basis of human ciliopathies.纤毛生物学:了解人类纤毛病的细胞和遗传基础。
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Hypokalemic paralysis and megaloblastic anaemia in Laurence-Moon-Bardet-Biedl syndrome.劳伦斯-穆恩-巴德-比德尔综合征中的低钾性麻痹和巨幼细胞贫血。
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