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遗传性对称性色素异常症:Aicardi-Goutières 综合征早期诊断的线索。

Dyschromatosis symmetrica hereditaria: A clue to early diagnosis of Aicardi-Goutières syndrome.

机构信息

Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Section of Pediatric Dermatology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

出版信息

Pediatr Dermatol. 2024 Jan-Feb;41(1):156-157. doi: 10.1111/pde.15437. Epub 2023 Sep 28.

DOI:10.1111/pde.15437
PMID:37770123
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10873022/
Abstract

A 6-year-old female with a history of Aicardi-Goutières syndrome (AGS) presented to dermatology clinic with hypopigmented and hyperpigmented macules and patches consistent with dyschromatosis symmetrica hereditaria (DSH). Previous genetic workup demonstrated a de novo, heterozygous mutation in the adenosine deaminase acting on RNA 1 (ADAR) gene. While the co-occurrence of AGS and DSH has previously been described in mutations of the ADAR gene, our case highlights the potential association between these disorders that may aid in earlier future diagnosis of AGS.

摘要

一位 6 岁的女性,患有 Aicardi-Goutières 综合征 (AGS),因色素减退和色素沉着的斑片和斑块而到皮肤科诊所就诊,这些斑块和斑片符合遗传性对称性色素异常 (DSH)。先前的基因检测显示 ADAR 基因的新生杂合突变。虽然 ADAR 基因突变与 AGS 和 DSH 的同时发生以前已有描述,但我们的病例突出了这些疾病之间的潜在关联,这可能有助于更早期的 AGS 诊断。

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本文引用的文献

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Aicardi-Goutières syndrome and dyschromatosis symmetrica hereditaria due to compound heterozygous mutation of ADAR1, presentation of two cases.因ADAR1复合杂合突变导致的艾卡迪-古铁雷斯综合征和对称性遗传性色素异常症:两例病例报告
Int J Dermatol. 2023 Nov;62(11):e580-e581. doi: 10.1111/ijd.16692. Epub 2023 May 26.
2
Case Report: Aicardi-Goutières Syndrome Type 6 and Dyschromatosis Symmetrica Hereditaria With Congenital Heart Disease and Mitral Valve Calcification - Phenotypic Variants Caused by Adenosine Deaminase Acting on the RNA 1 Gene Homozygous Mutations.病例报告:伴有先天性心脏病和二尖瓣钙化的6型艾卡迪-古铁雷斯综合征及对称性遗传性色素沉着异常——由作用于RNA 1基因的腺苷脱氨酶纯合突变引起的表型变异
Front Pediatr. 2022 Jun 27;10:852903. doi: 10.3389/fped.2022.852903. eCollection 2022.
3
Co-occurrence of Aicardi-Goutières syndrome type 6 and dyschromatosis symmetrica hereditaria due to compound heterozygous pathogenic variants in ADAR1: a case series from India.由于 ADAR1 复合杂合致病性变异导致的 Aicardi-Goutières 综合征 6 型和对称性色素失调遗传性共病:来自印度的病例系列。
Clin Exp Dermatol. 2021 Jun;46(4):704-709. doi: 10.1111/ced.14531. Epub 2021 Jan 4.
4
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N Engl J Med. 2020 Sep 3;383(10):986-989. doi: 10.1056/NEJMc2001362.
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