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软骨发育不全:来自印度罕见病中心的临床、放射学及分子特征

Achondroplasia: Clinical, Radiological and Molecular Profile from Rare Disease Centre, India.

作者信息

Goyal Manisha, Gupta Ashok, Bhandari Anu, Faruq Mohammed

机构信息

Rare disease centre, Department of Pediatrics, SMS medical college, Jaipur, Rajasthan, India.

Department of Pediatrics, Rare Disease Center, SMS Medical College, Jaipur, Rajasthan, India.

出版信息

J Pediatr Genet. 2021 Jul 7;12(1):42-47. doi: 10.1055/s-0041-1731684. eCollection 2023 Mar.

Abstract

Achondroplasia is the most common autosomal dominant form of skeletal dysplasia and is caused by heterozygous mutations of the fibroblast growth factor receptor 3 ( ) gene at region 4p16.3. This study highlights the data of achondroplasia cases, clinical spectrum, and their outcome from small cities and the region around Rajasthan. The data for analysis were collected retrospectively from genetic records of rare disease clinic in Rajasthan. Clinical profile, radiographic features, molecular test results, and outcome were collected. There were 15 cases, including eight males and seven females, in this cohort. All had facial hypoplasia, depressed nasal bridge, prominent forehead, and characteristic radiographic features. A total of 14 cases were sporadic and one case was inherited from the mother. Mutation analysis showed 13 out of 15 cases with the p.Gly380Arg mutation in the gene. Hydrocephalus was developed in three cases, required shunting in two cases.

摘要

软骨发育不全是最常见的常染色体显性骨骼发育不良形式,由位于4p16.3区域的成纤维细胞生长因子受体3( )基因的杂合突变引起。本研究强调了来自拉贾斯坦邦周边小城市的软骨发育不全病例数据、临床谱及其结果。分析数据是从拉贾斯坦邦罕见病诊所的基因记录中回顾性收集的。收集了临床特征、影像学特征、分子检测结果及结果。该队列中有15例,包括8名男性和7名女性。所有人都有面部发育不全、鼻梁凹陷、前额突出和特征性影像学特征。总共14例为散发病例,1例由母亲遗传。突变分析显示15例中有13例在 基因中存在p.Gly380Arg突变。3例发生脑积水,2例需要分流。

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本文引用的文献

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Achondroplasia: a comprehensive clinical review.软骨发育不全症:全面的临床综述。
Orphanet J Rare Dis. 2019 Jan 3;14(1):1. doi: 10.1186/s13023-018-0972-6.
5
Multicenter study of mortality in achondroplasia.多发性中心性软骨发育不全病死亡率的研究
Am J Med Genet A. 2018 Nov;176(11):2359-2364. doi: 10.1002/ajmg.a.40528. Epub 2018 Oct 1.
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