González-Rodríguez Juan D, Inglés-Torres Esther Q, Cabrera-Sevilla José E, Ibáñez-Micó Salvador, Bermejo-Costa Francisca, Vera-Carbonell Ascensión, Bafalliu-Vidal Juan A, Cortés-Mora Pedro, Lorente-Nicolás Ana, Donate-Legaz José María
Hospital General Universitario Santa Lucía, Department of Pediatric Nephrology, Cartagena, Murcia, Spain
Hospital Clínico Universitario Virgen de la Arrixaca, Department of Pediatric Neurology, Murcia, Spain
J Clin Res Pediatr Endocrinol. 2025 May 27;17(2):219-225. doi: 10.4274/jcrpe.galenos.2023.2023-3-11. Epub 2023 Aug 10.
One-month old, breastfeeding infant, born at term, with normal anthropometric measurements at birth was referred to Pediatric Nephrology due to a nephrocalcinosis. The patient presented with dysmorphic features and heart disease. A metabolic study was conducted on blood and urine yielding results within normal parameters, except for the renal concentration test and acidification test. At six months of age, the patient presented with overgrowth, which along with other clinical signs aroused the suspicion of Sotos syndrome. Molecular genetic testing identified a heterozygous deletion in 5q35 between bands q35.2 and q35.3, affecting the genes and , which was compatible with Sotos syndrome and with nephrocalcinosis as a rare association.
一名足月出生的1个月大母乳喂养婴儿,出生时人体测量指标正常,因肾钙质沉着症转诊至儿科肾病科。该患者存在畸形特征和心脏病。对血液和尿液进行了代谢研究,除肾脏浓缩试验和酸化试验外,其他结果均在正常参数范围内。6个月大时,患者出现生长过速,这与其他临床症状一起引发了对索托斯综合征的怀疑。分子基因检测发现5号染色体长臂3区5带(q35)的q35.2和q35.3带之间存在杂合缺失,影响了相关基因,这与索托斯综合征相符,且肾钙质沉着症为罕见关联情况。