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推进对科妮莉亚·德朗热综合征的临床和分子理解:多学科儿科病例系列及文献综述

Advancing the Clinical and Molecular Understanding of Cornelia de Lange Syndrome: A Multidisciplinary Pediatric Case Series and Review of the Literature.

作者信息

Gruca-Stryjak Karolina, Doda-Nowak Emilia, Dzierla Julia, Wróbel Karolina, Szymankiewicz-Bręborowicz Marta, Mazela Jan

机构信息

Department of Perinatology, Faculty of Medicine, University of Medical Sciences, 60-535 Poznan, Poland.

Department of Obstetrics and Gynecology, Polish Mother's Memorial Hospital Research Institute, 93-338 Lodz, Poland.

出版信息

J Clin Med. 2024 Apr 21;13(8):2423. doi: 10.3390/jcm13082423.

Abstract

Cornelia de Lange syndrome (CdLS) is a complex genetic disorder with distinct facial features, growth limitations, and limb anomalies. Its broad clinical spectrum presents significant challenges in pediatric diagnosis and management. Due to cohesin complex mutations, the disorder's variable presentation requires extensive research to refine care and improve outcomes. This article provides a case series review of pediatric CdLS patients alongside a comprehensive literature review, exploring clinical variability and the relationship between genotypic changes and phenotypic outcomes. It also discusses the evolution of diagnostic and therapeutic techniques, emphasizing innovations in genetic testing, including detecting mosaicism and novel genetic variations. The aim is to synthesize case studies with current research to advance our understanding of CdLS and the effectiveness of management strategies in pediatric healthcare. This work highlights the need for an integrated, evidence-based approach to diagnosis and treatment. It aims to fill existing research gaps and advocate for holistic care protocols and tailored treatment plans for CdLS patients, ultimately improving their quality of life.

摘要

科妮莉亚·德朗格综合征(CdLS)是一种复杂的遗传性疾病,具有独特的面部特征、生长受限和肢体异常。其广泛的临床谱在儿科诊断和管理方面带来了重大挑战。由于黏连蛋白复合物突变,该疾病的表现多样,需要进行广泛研究以优化护理并改善治疗结果。本文提供了一组儿科CdLS患者的病例系列回顾以及全面的文献综述,探讨了临床变异性以及基因型变化与表型结果之间的关系。还讨论了诊断和治疗技术的演变,强调了基因检测方面的创新,包括检测嵌合体和新的基因变异。目的是将病例研究与当前研究相结合,以增进我们对CdLS的理解以及儿科医疗中管理策略的有效性。这项工作强调了采用综合、循证方法进行诊断和治疗的必要性。旨在填补现有研究空白,倡导针对CdLS患者的整体护理方案和个性化治疗计划,最终改善他们的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/609a/11050916/223a4304b096/jcm-13-02423-g001.jpg

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