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遗传性皮肤病的患病率、性别倾向及遗传模式调查:一项三级医院研究

Investigating the Prevalence, Gender Predilection, and Inheritance Patterns of Genodermatoses: A Tertiary Hospital Study.

作者信息

Puttur Namratha, Kapoor Asmita, Lakhey Kshitiz, Reddy Aravind, Malik Nishtha, Deokar Shubham

机构信息

Dermatology, Venereology and Leprosy, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.

出版信息

Cureus. 2024 Jun 15;16(6):e62455. doi: 10.7759/cureus.62455. eCollection 2024 Jun.

Abstract

Genodermatoses encompass a spectrum of hereditary skin disorders stemming from mutations in genes pivotal for skin development, structure, and function. This study investigated the prevalence, gender predilection, and inheritance patterns of genodermatoses in a tertiary-level hospital through a one-year observational study. Among 157,051 dermatology outpatient department patients, 105 cases of genodermatoses were diagnosed, yielding a prevalence rate of 0.067%. Hamartoneoplastic syndromes and inherited disorders of cornification were the most prevalent subgroups, with neurofibromatosis type 1 and tuberous sclerosis complex 1 leading within these categories. The average age at presentation varied among different subgroups. A 2:1 male-to-female ratio was observed across all subgroups. Autosomal dominant inheritance was predominant. A positive family history in 46 cases and consanguinity among parents in 28 instances was reported. Genodermatoses pose diagnostic challenges due to their clinical complexity and rarity, which is compounded by limited epidemiological data. Molecular diagnosis advancements offer insights into genotype-phenotype correlations and facilitate genetic counseling and prenatal diagnosis (PND). Raising awareness among healthcare professionals and the public is critical for improving the quality of life for affected individuals.

摘要

遗传性皮肤病包括一系列遗传性皮肤疾病,这些疾病源于对皮肤发育、结构和功能至关重要的基因突变。本研究通过为期一年的观察性研究,调查了一家三级医院中遗传性皮肤病的患病率、性别倾向和遗传模式。在157051名皮肤科门诊患者中,确诊了105例遗传性皮肤病,患病率为0.067%。错构瘤性综合征和遗传性角化障碍是最常见的亚组,其中1型神经纤维瘤病和结节性硬化症复合体1在这些类别中占主导地位。不同亚组的就诊平均年龄有所不同。所有亚组的男女比例为2:1。常染色体显性遗传占主导。报告了46例有阳性家族史,28例父母为近亲结婚。由于遗传性皮肤病的临床复杂性和罕见性,加上流行病学数据有限,给诊断带来了挑战。分子诊断的进展为基因型-表型相关性提供了见解,并有助于遗传咨询和产前诊断(PND)。提高医疗专业人员和公众的认识对于改善受影响个体的生活质量至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b585/11251906/fb64f47ef3ba/cureus-0016-00000062455-i01.jpg

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