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局灶性真皮发育不全(戈尔茨综合征):一名患有多系统异常的早产儿——病例报告。

Focal dermal hypoplasia (Goltz Syndrome): A preterm neonate with multisystem anomalies-A case report.

作者信息

Mohamed Abdikarin Ahmed, Hagos Hindeya Hailu, Seyoum Dawit, Hadgu Amanuel

机构信息

Department of Pediatrics and Child Health, College of Health Science, Mekelle University, Tigray, Ethiopia.

出版信息

SAGE Open Med Case Rep. 2024 Aug 16;12:2050313X241274981. doi: 10.1177/2050313X241274981. eCollection 2024.

DOI:10.1177/2050313X241274981
PMID:39157028
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11329961/
Abstract

Goltz syndrome is a rare condition characterized by thinning of the skin, which leads to the herniation of fat and results in both skin and systemic abnormalities. The primary cause of this syndrome is the mutation of the PORCN gene, which is associated with the X chromosome. A newborn baby was admitted to the neonatal intensive care unit due to skeletal and skin abnormalities. The major findings in this patient included anophthalmia, microform cleft lip, subcutaneous fat herniation, and split foot. An abdominal ultrasound examination revealed a solitary right kidney and an echocardiogram showed patent ductus arteriosus. The patient was treated for neonatal sepsis, and the family received counseling about the disease. We report this case because of its exceptional rarity.

摘要

戈尔茨综合征是一种罕见疾病,其特征为皮肤变薄,进而导致脂肪疝出,并引发皮肤和全身异常。该综合征的主要病因是位于X染色体上的PORCN基因突变。一名新生儿因骨骼和皮肤异常被收治入新生儿重症监护病房。该患者的主要检查结果包括无眼畸形、微小型唇裂、皮下脂肪疝出和裂足。腹部超声检查显示右肾孤立,超声心动图显示动脉导管未闭。该患者接受了新生儿败血症治疗,其家属也接受了关于该疾病的咨询。我们报告此病例是因其极为罕见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5e6/11329961/8b85476f4070/10.1177_2050313X241274981-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5e6/11329961/c1653cf07040/10.1177_2050313X241274981-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5e6/11329961/a37b2a796eb0/10.1177_2050313X241274981-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5e6/11329961/8b85476f4070/10.1177_2050313X241274981-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5e6/11329961/c1653cf07040/10.1177_2050313X241274981-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5e6/11329961/a37b2a796eb0/10.1177_2050313X241274981-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5e6/11329961/8b85476f4070/10.1177_2050313X241274981-fig3.jpg

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本文引用的文献

1
Cutaneous, Cranial, and Skeletal Defects in Children and Adults with Focal Dermal Hypoplasia.患有局灶性真皮发育不全的儿童和成人的皮肤、颅骨及骨骼缺陷
Children (Basel). 2023 Oct 22;10(10):1715. doi: 10.3390/children10101715.
2
Focal Dermal Hypoplasia: Case Series.局灶性真皮发育不全:病例系列
Indian J Dermatol. 2023 Jan-Feb;68(1):122. doi: 10.4103/ijd.ijd_508_22.
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Goltz Syndrome Combined with Triple X Syndrome, a Case Report.
Cleft Palate Craniofac J. 2024 Mar;61(3):534-538. doi: 10.1177/10556656221141236. Epub 2022 Nov 28.
4
Focal Dermal Hypoplasia (Goltz Syndrome): A Rare Case.局灶性真皮发育不全(戈尔茨综合征):1例罕见病例
Indian Dermatol Online J. 2022 Jun 24;13(4):502-504. doi: 10.4103/idoj.idoj_663_21. eCollection 2022 Jul-Aug.
5
Focal Dermal Hypoplasia (Goltz Syndrome): A Case Report Showing a Wide Variety of Systemic and Oral Manifestations.局灶性真皮发育不全(戈尔茨综合征):一例显示多种全身和口腔表现的病例报告。
Ann Dermatol. 2022 Aug;34(4):291-296. doi: 10.5021/ad.20.120.
6
Blaschko Linear Enamel Defects - A Marker for Focal Dermal Hypoplasia: Case Report of Focal Dermal Hypoplasia.线状釉质发育不全——局灶性真皮发育不全的一个标志:局灶性真皮发育不全病例报告
Case Rep Dermatol. 2015 May 19;7(2):90-4. doi: 10.1159/000430781. eCollection 2015 May-Aug.
7
Goltz syndrome: a newborn with ectrodactyly and skin lesions.戈尔茨综合征:一名患有缺指(趾)畸形和皮肤病变的新生儿。
Indian J Dermatol. 2015 Mar-Apr;60(2):215. doi: 10.4103/0019-5154.152608.
8
Severe abdominal wall defect leading to dehiscence in focal dermal hypoplasia (Goltz syndrome).严重腹壁缺损导致局灶性真皮发育不全(戈尔茨综合征)出现裂开。
Indian J Dermatol Venereol Leprol. 2015 Mar-Apr;81(2):188-90. doi: 10.4103/0378-6323.152295.
9
A case report of focal dermal hypoplasia-Goltz syndrome.局灶性真皮发育不全-戈尔茨综合征病例报告
Indian Dermatol Online J. 2013 Jul;4(3):241-3. doi: 10.4103/2229-5178.115535.
10
Focal dermal hypoplasia: updates.局灶性真皮发育不全:最新进展
Oral Dis. 2014 Jan;20(1):17-24. doi: 10.1111/odi.12083. Epub 2013 Mar 6.