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烟雾病样血管病变与MECP2重复综合征。

Moya moya vasculopathy and MECP2 duplication syndrome.

作者信息

Holover Gianna, Adams Darius, Milligan Dawn, Goldberg Rina, Rios Jose, Kornitzer Jeffrey, Mazzola Catherine

机构信息

School of Arts and Science, Rutgers University, New Brunswick, NJ, USA.

Department of Genetics, Personalized Genomic Medicine, Morristown, NJ, USA.

出版信息

Childs Nerv Syst. 2024 Mar;40(3):809-812. doi: 10.1007/s00381-023-06139-0. Epub 2023 Oct 7.

Abstract

BACKGROUND

Moya moya type vasculopathy (MMV) is a rare disorder in which there is narrowing of bilateral intracranial carotid arteries (Scott and Smith in New Engl J Med 360(12):1226-1237, 2009). MECP2 duplication syndrome (MDS) is a rare genetic disorder that is caused by genetic duplications on Xq28 chromosome (Expanding the clinical picture of the MECP2 duplication syndrome. (Lim et al. in Clin Genet 91(4):557-563, 2017). Both disorders are rare and have not been described together in association.

CASE PRESENTATION

Interestingly, we present a child with both MDS and MMV. Upon genetic testing, there was found to be a large, de novo duplication sequence in the patient's genome. Possible correlation between our patient's extensive genetic mutation and MMV has been evaluated.

CONCLUSION

Our literature search disclosed no other known patients with both MDS and MMV. Patients with MDS should be monitored carefully for signs or symptoms of vasculopathy.

摘要

背景

烟雾病样血管病变(MMV)是一种罕见的疾病,其特征为双侧颅内颈动脉狭窄(Scott和Smith,《新英格兰医学杂志》360(12):1226 - 1237,2009年)。MECP2重复综合征(MDS)是一种罕见的遗传性疾病,由Xq28染色体上的基因重复引起(扩展MECP2重复综合征的临床症状。(Lim等人,《临床遗传学》91(4):557 - 563,2017年)。这两种疾病都很罕见,且尚未有二者相关联的报道。

病例介绍

有趣的是,我们报告了一名同时患有MDS和MMV的儿童。基因检测发现患者基因组中存在一个大的、新发的重复序列。我们对患者广泛的基因突变与MMV之间可能的相关性进行了评估。

结论

我们的文献检索未发现其他同时患有MDS和MMV的已知患者。对于MDS患者,应密切监测血管病变的体征或症状。

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