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外胚层发育不良的多学科干预:一例临床病例报告。

Multidisciplinary interventions in ectodermal dysplasia: A clinical case report.

作者信息

Chaponan-Lavalle Andres, Garcia Luis Guillermo Azanedo, Randich Karla Hernandez, Chaponan-Lavalle Yolanda, Ordaya-Gonzales Karina, Arriola-Montenegro Jose

机构信息

Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Peru.

Escuela de Medicina, Universidad Científica del Sur, Lima, Peru.

出版信息

J Family Med Prim Care. 2024 Nov;13(11):5407-5410. doi: 10.4103/jfmpc.jfmpc_844_24. Epub 2024 Nov 18.

DOI:10.4103/jfmpc.jfmpc_844_24
PMID:39722988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11668417/
Abstract

Ectodermal dysplasia (ED) is a spectrum of inherited disorders that compromise the development and function of ectodermal structures, like hair, nails, and teeth. This case report describes a 17-year-old male with sparse hair and cognitive difficulties who was diagnosed with ED in childhood. A multidisciplinary evaluation with dermatology, neurology, and dentistry revealed characteristic clinical features, and the histopathological diagnosis was confirmed via punch biopsy. Also, ED poses challenges beyond dermatologic manifestations, affecting cognitive function, psychological well-being, and nutrition. Multidisciplinary management, early diagnosis, and awareness are crucial for optimizing patient outcomes and exploring potential therapies.

摘要

外胚层发育不良(ED)是一系列遗传性疾病,会损害外胚层结构(如头发、指甲和牙齿)的发育和功能。本病例报告描述了一名17岁男性,自幼头发稀疏且有认知障碍,童年时被诊断为ED。皮肤科、神经科和牙科的多学科评估揭示了其特征性临床特征,并通过钻孔活检确诊了组织病理学诊断。此外,ED带来的挑战不仅限于皮肤表现,还会影响认知功能、心理健康和营养状况。多学科管理、早期诊断和认知对于优化患者预后和探索潜在治疗方法至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/900e/11668417/a5954df81732/JFMPC-13-5407-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/900e/11668417/eea616c1e9de/JFMPC-13-5407-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/900e/11668417/4406ecc9abbe/JFMPC-13-5407-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/900e/11668417/a5954df81732/JFMPC-13-5407-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/900e/11668417/eea616c1e9de/JFMPC-13-5407-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/900e/11668417/4406ecc9abbe/JFMPC-13-5407-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/900e/11668417/a5954df81732/JFMPC-13-5407-g003.jpg

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本文引用的文献

1
Ectodermal Dysplasia - An Overview and Update.外胚层发育不良——概述与更新
Indian Dermatol Online J. 2024 Apr 23;15(3):405-414. doi: 10.4103/idoj.idoj_599_23. eCollection 2024 May-Jun.
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Clinical and Molecular Genetic Analysis of Cases with Ectodermal Dysplasia.临床与外胚层发育不良病例的分子遗传学分析。
Adv Exp Med Biol. 2023;1423:181-186. doi: 10.1007/978-3-031-31978-5_15.
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The characterization of hypodontia, hypohidrosis, and hypotrichosis associated with X-linked hypohidrotic ectodermal dysplasia: A systematic review.
伴性遗传型少汗性外胚叶发育不全相关的先天性缺牙、少汗和毛发稀疏的特征:系统评价。
Am J Med Genet A. 2020 Apr;182(4):831-841. doi: 10.1002/ajmg.a.61493. Epub 2020 Jan 25.
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A case of anhidrotic ectodermal dysplasia presenting with pyrexia, atopic eczema, and food allergy.一例以发热、特应性皮炎和食物过敏为表现的无汗性外胚层发育不良病例。
Asia Pac Allergy. 2019 Jan 14;9(1):e3. doi: 10.5415/apallergy.2019.9.e3. eCollection 2019 Jan.
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Ectodermal dysplasias: Classification and organization by phenotype, genotype and molecular pathway.外胚层发育不全:按表型、基因型和分子途径分类和组织。
Am J Med Genet A. 2019 Mar;179(3):442-447. doi: 10.1002/ajmg.a.61045. Epub 2019 Jan 31.
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Associations between ectodermal dysplasia, psychological distress and quality of life in a group of adults with oligodontia.一组少牙症成年人中外胚层发育不良、心理困扰与生活质量之间的关联。
Acta Odontol Scand. 2017 Nov;75(8):564-572. doi: 10.1080/00016357.2017.1357189. Epub 2017 Jul 28.
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Immune system disturbances in Clouston syndrome.克罗斯顿综合征中的免疫系统紊乱。
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