Suppr超能文献

自闭症谱系障碍与科芬-西里斯综合征——病例报告

Autism spectrum disorder and Coffin-Siris syndrome-Case report.

作者信息

Milutinovic Luka, Grujicic Roberto, Mandic Maravic Vanja, Joksic Ivana, Ljubomirovic Natasa, Pejovic Milovancevic Milica

机构信息

Clinical Department for Children and Adolescents, Institute of Mental Health, Belgrade, Serbia.

Day Hospital for Psychotic Disorders, Institute of Mental Health, Belgrade, Serbia.

出版信息

Front Psychiatry. 2023 Aug 24;14:1199710. doi: 10.3389/fpsyt.2023.1199710. eCollection 2023.

Abstract

INTRODUCTION

Autism spectrum disorders (ASDs) are a group of developmental disorders characterized by deficits in social communicative skills and the occurrence of repetitive and/or stereotyped behaviors. Coffin-Siris syndrome (CSS) is classically characterized by aplasia or hypoplasia of the distal phalanx or nail of the fifth and additional digits, developmental or cognitive delay of varying degrees, distinctive facial features, hypotonia, hirsutism/hypertrichosis, and sparse scalp hair. In this study, we present a detailed description of autistic traits in a boy diagnosed with CSS and further discuss their genetic backgrounds.

CASE DESCRIPTION

An 8-year-old boy with ASD, congenital anomalies, and neurological problems had been diagnosed with Coffin-Siris syndrome after genetic testing. Genetic testing revealed a heterozygous pathogenic variant (class 5) c.1638_1647del in the gene that is causative of Coffin-Siris syndrome but also other intellectual disability (ID)-related disorders, including autism. Tests that preceded the diagnoses, as well as congenital anomalies and developmental issues, were further described in an attempt to better present his phenotype.

CONCLUSION

Both autism and -related disorders are on a spectrum. This report points out the importance and necessity of further research regarding the genetic backgrounds of these disorders to understand their complex etiology.

摘要

引言

自闭症谱系障碍(ASD)是一组发育障碍,其特征是社交沟通技能缺陷以及重复和/或刻板行为的出现。科芬 - 西里综合征(CSS)的典型特征是第五指及其他手指的远端指骨或指甲发育不全或发育不良、不同程度的发育或认知延迟、独特的面部特征、肌张力减退、多毛症/多毛、头皮毛发稀疏。在本研究中,我们详细描述了一名被诊断为CSS的男孩的自闭症特征,并进一步讨论了其遗传背景。

病例描述

一名患有自闭症谱系障碍、先天性异常和神经问题的8岁男孩在基因检测后被诊断为科芬 - 西里综合征。基因检测发现一个杂合致病性变异(5类)c.1638_1647del,该基因不仅导致科芬 - 西里综合征,还导致其他与智力残疾(ID)相关的疾病,包括自闭症。为了更好地呈现他的表型,还进一步描述了诊断前的检查以及先天性异常和发育问题。

结论

自闭症及相关疾病都在一个谱系范围内。本报告指出了进一步研究这些疾病遗传背景以了解其复杂病因学的重要性和必要性。

相似文献

1
Autism spectrum disorder and Coffin-Siris syndrome-Case report.
Front Psychiatry. 2023 Aug 24;14:1199710. doi: 10.3389/fpsyt.2023.1199710. eCollection 2023.
5
Prenatal Coffin-Siris Syndrome: Expanding the Phenotypic and Genotypic Spectrum of the Disease.
Pediatr Dev Pathol. 2024 Mar-Apr;27(2):181-186. doi: 10.1177/10935266231210155. Epub 2023 Nov 19.
6
A 69-year-old woman with Coffin-Siris syndrome.
Am J Med Genet A. 2018 Aug;176(8):1764-1767. doi: 10.1002/ajmg.a.38844. Epub 2018 Jul 28.
9
Growth Hormone Deficiency due to p.(Gln467Argfs*64) Mutation in the Gene in a Girl with Coffin-Siris Syndrome.
Mol Syndromol. 2022 Dec;13(5):425-432. doi: 10.1159/000522532. Epub 2022 Apr 8.
10
Congenital diaphragmatic hernia in Coffin Siris syndrome: Further evidence from two cases.
Am J Med Genet A. 2023 Feb;191(2):605-611. doi: 10.1002/ajmg.a.63054. Epub 2022 Nov 23.

引用本文的文献

1
Mechanisms of brain overgrowth in autism spectrum disorder with macrocephaly.
Front Neurosci. 2025 Jun 6;19:1586550. doi: 10.3389/fnins.2025.1586550. eCollection 2025.
2
A missense variant in the SOX5 gene (c.221C > T) is associated with intellectual disability.
Orphanet J Rare Dis. 2025 Feb 4;20(1):50. doi: 10.1186/s13023-025-03548-z.

本文引用的文献

3
The Evolutionary Conserved SWI/SNF Subunits ARID1A and ARID1B Are Key Modulators of Pluripotency and Cell-Fate Determination.
Front Cell Dev Biol. 2021 Mar 4;9:643361. doi: 10.3389/fcell.2021.643361. eCollection 2021.
7
The ARID1B spectrum in 143 patients: from nonsyndromic intellectual disability to Coffin-Siris syndrome.
Genet Med. 2019 Jun;21(6):1295-1307. doi: 10.1038/s41436-018-0330-z. Epub 2018 Nov 8.
8
Mutational Landscapes and Phenotypic Spectrum of SWI/SNF-Related Intellectual Disability Disorders.
Front Mol Neurosci. 2018 Aug 3;11:252. doi: 10.3389/fnmol.2018.00252. eCollection 2018.
9
Syndromic autism spectrum disorders: moving from a clinically defined to a molecularly defined approach.
Dialogues Clin Neurosci. 2017 Dec;19(4):353-371. doi: 10.31887/DCNS.2017.19.4/sscherer.
10
Arid1b haploinsufficiency disrupts cortical interneuron development and mouse behavior.
Nat Neurosci. 2017 Dec;20(12):1694-1707. doi: 10.1038/s41593-017-0013-0. Epub 2017 Nov 6.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验