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雅各布森综合征合并肖恩综合征:一例报告

Jacobsen syndrome associated with Shone's complex: a case report.

作者信息

Brum Andressa, Laskoski Larissa Valéria, Matos Fabiana Gonçalves de Oliveira Azevedo, d'Arce Luciana Paula Grégio

机构信息

Universidade Estadual do Oeste do Paraná, Cascavel, PR, Brazil.

出版信息

Rev Paul Pediatr. 2025 Jan 17;43:e2024136. doi: 10.1590/1984-0462/2025/43/2024136. eCollection 2025.

DOI:10.1590/1984-0462/2025/43/2024136
PMID:39841699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11741228/
Abstract

OBJECTIVE

The aim of this study was to report the case of a child with Jacobsen syndrome in order to provide phenotypic information about this rare genetic disorder.

CASE DESCRIPTION

A 5-year-old female preschooler was diagnosed with Jacobsen syndrome by karyotype testing. She presented with a variety of craniofacial anomalies and malformations, including cardiac impairment, characterized by a cluster of malformations in the left ventricle in line with the diagnosis of Shone's complex.

COMMENTS

Jacobsen syndrome occurs due to a deletion of contiguous genes on the long arm of chromosome 11 (11q). The main characteristics associated with this genetic disorder are short stature and delayed neuropsychomotor development, trigonocephaly and craniofacial dysmorphism, hematological alterations, and cardiac malformations, among others. Thus, the child is being monitored at a Craniofacial Anomalies Center with a multi-professional team in order to monitor her development and treat the associated comorbidities.

摘要

目的

本研究旨在报告一例雅各布森综合征患儿的病例,以提供有关这种罕见遗传疾病的表型信息。

病例描述

一名5岁女性学龄前儿童通过核型检测被诊断为雅各布森综合征。她出现了多种颅面异常和畸形,包括心脏损害,其特征是左心室存在一系列畸形,符合肖恩综合征的诊断。

评论

雅各布森综合征是由于11号染色体长臂(11q)上的连续基因缺失所致。与这种遗传疾病相关的主要特征包括身材矮小和神经心理运动发育迟缓、三角头畸形和颅面畸形、血液学改变以及心脏畸形等。因此,该患儿正在颅面异常中心由一个多专业团队进行监测,以监测她的发育情况并治疗相关的合并症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d780/11741228/897a01b2ced3/1984-0462-rpp-43-e2024136-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d780/11741228/19c8bb980c9f/1984-0462-rpp-43-e2024136-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d780/11741228/897a01b2ced3/1984-0462-rpp-43-e2024136-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d780/11741228/19c8bb980c9f/1984-0462-rpp-43-e2024136-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d780/11741228/897a01b2ced3/1984-0462-rpp-43-e2024136-gf02.jpg

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本文引用的文献

1
Ultrasonographic findings and prenatal diagnosis of Jacobsen syndrome: A case report and review of the literature.雅各布森综合征的超声检查结果及产前诊断:一例病例报告并文献复习
Medicine (Baltimore). 2020 Jan;99(1):e18695. doi: 10.1097/MD.0000000000018695.
2
Jacobsen syndrome: Advances in our knowledge of phenotype and genotype.雅各布森综合征:我们对表型和基因型认识的进展
Am J Med Genet C Semin Med Genet. 2015 Sep;169(3):239-50. doi: 10.1002/ajmg.c.31448. Epub 2015 Aug 18.
3
Deletion of ETS-1, a gene in the Jacobsen syndrome critical region, causes ventricular septal defects and abnormal ventricular morphology in mice.
ETS-1 缺失导致雅各布森综合征关键区域的基因缺失,导致小鼠出现室间隔缺损和心室形态异常。
Hum Mol Genet. 2010 Feb 15;19(4):648-56. doi: 10.1093/hmg/ddp532. Epub 2009 Nov 26.
4
Jacobsen syndrome.雅各布森综合征
Orphanet J Rare Dis. 2009 Mar 7;4:9. doi: 10.1186/1750-1172-4-9.
5
Chromosomal microarray mapping suggests a role for BSX and Neurogranin in neurocognitive and behavioral defects in the 11q terminal deletion disorder (Jacobsen syndrome).染色体微阵列图谱显示,BSX和神经颗粒素在11q末端缺失障碍(雅各布森综合征)的神经认知和行为缺陷中起作用。
Neurogenetics. 2009 Apr;10(2):89-95. doi: 10.1007/s10048-008-0157-x. Epub 2008 Oct 15.
6
Endocrine abnormalities in patients with Jacobsen (11q-) syndrome.雅各布森(11q-)综合征患者的内分泌异常。
Am J Med Genet A. 2004 Aug 15;129A(1):62-3. doi: 10.1002/ajmg.a.30248.
7
The 11q terminal deletion disorder: a prospective study of 110 cases.11q末端缺失障碍:110例前瞻性研究
Am J Med Genet A. 2004 Aug 15;129A(1):51-61. doi: 10.1002/ajmg.a.30090.
8
Paris-Trousseau syndrome : clinical, hematological, molecular data of ten new cases.巴黎-特鲁索综合征:10例新病例的临床、血液学及分子数据
Thromb Haemost. 2003 Nov;90(5):893-7. doi: 10.1160/TH03-02-0120.
9
Paris-Trousseau syndrome platelets in a child with Jacobsen's syndrome.患有雅各布森综合征儿童的巴黎-特鲁索综合征血小板
Am J Hematol. 2001 Apr;66(4):295-9. doi: 10.1002/ajh.1061.
10
Fli-1 is required for murine vascular and megakaryocytic development and is hemizygously deleted in patients with thrombocytopenia.Fli-1是小鼠血管和巨核细胞发育所必需的,并且在血小板减少症患者中半合子缺失。
Immunity. 2000 Aug;13(2):167-77. doi: 10.1016/s1074-7613(00)00017-0.