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病例报告:患有PHACE综合征的两个月大婴儿:面部血管瘤和严重复杂的主动脉缩窄。

Case Report: Two-month-old infant with PHACE syndrome: facial hemangioma and severe complex coarctation of the aorta.

作者信息

David Sánchez-Ortiz, Lucía Deiros-Bronte, Lucía De la Hoz-Marañón, Marta Feito-Rodríguez, Juvenal Rey-Lois, Diana Salas-Mera, Carlos Labrandero-De Lera, Juan Carlos López-Gutiérrez, Federico Gutiérrez-Larraya

机构信息

Cardiology Department, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.

Molecular Mechanics of the Cardiovascular System Laboratory, Spanish National Center of Cardiovascular Research, Madrid, Spain.

出版信息

Front Cardiovasc Med. 2025 Feb 3;12:1539168. doi: 10.3389/fcvm.2025.1539168. eCollection 2025.

DOI:10.3389/fcvm.2025.1539168
PMID:39963605
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11831542/
Abstract

BACKGROUND

PHACE syndrome is an uncommon disorder, marked by large segmental hemangiomas on the face and various developmental anomalies. Significant advancements have been made in its diagnosis, imaging, and understanding of complications since 1996.

CASE SUMMARY

We describe the first diagnosis case of PHACE syndrome in a one-month and 19-day-old infant who presented with a large facial hemangioma and coarctation of the aorta originating from the left common carotid artery, along with an aberrant course of the right subclavian artery. The complementary diagnostic studies, their surgical correction, and their progression are described.

DISCUSSION

Given the rarity of the syndrome (the PHACE Syndrome International Clinical Registry and Genetic Repository has over 270 enrolled individuals) and the importance of early diagnosis of some anomalies it comprises, particularly cardiovascular anomalies, dissemination is considered crucial for general and pediatric cardiologists.

摘要

背景

PHACE综合征是一种罕见疾病,其特征为面部出现大片节段性血管瘤以及各种发育异常。自1996年以来,在其诊断、影像学及并发症的认识方面已取得显著进展。

病例摘要

我们描述了一名1个月零19天大婴儿的PHACE综合征首例诊断病例,该婴儿表现为巨大面部血管瘤、起源于左颈总动脉的主动脉缩窄以及右锁骨下动脉走行异常。文中描述了辅助诊断检查、手术矫正及其进展情况。

讨论

鉴于该综合征的罕见性(PHACE综合征国际临床注册与基因库已登记270多名患者)以及其所包含的某些异常(尤其是心血管异常)早期诊断的重要性,宣传推广对于普通心脏病专家和儿科心脏病专家而言至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f754/11831542/a904e279be83/fcvm-12-1539168-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f754/11831542/bb1bfa7351d2/fcvm-12-1539168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f754/11831542/a904e279be83/fcvm-12-1539168-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f754/11831542/bb1bfa7351d2/fcvm-12-1539168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f754/11831542/a904e279be83/fcvm-12-1539168-g002.jpg

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本文引用的文献

1
Hemangioma-related syndromes.血管瘤相关综合征。
Curr Opin Pediatr. 2020 Aug;32(4):498-505. doi: 10.1097/MOP.0000000000000925.
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PHACE Syndrome: Consensus-Derived Diagnosis and Care Recommendations.PHACE综合征:基于共识的诊断与护理建议
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Congenital cardiac, aortic arch, and vascular bed anomalies in PHACE syndrome (from the International PHACE Syndrome Registry).PHACE 综合征中的先天性心脏、主动脉弓和血管床异常(来自国际 PHACE 综合征登记处)。
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X Chromosome-Inactivation Patterns in 31 Individuals with PHACE Syndrome.31例PHACE综合征患者的X染色体失活模式
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Copy number variation analysis in 98 individuals with PHACE syndrome.98 例 PHACE 综合征个体的拷贝数变异分析。
J Invest Dermatol. 2013 Mar;133(3):677-684. doi: 10.1038/jid.2012.367. Epub 2012 Oct 25.
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Cervical and intracranial arterial anomalies in 70 patients with PHACE syndrome.70 例 PHACE 综合征患者的颈内动脉和颅内动脉异常。
AJNR Am J Neuroradiol. 2010 Nov;31(10):1980-6. doi: 10.3174/ajnr.A2206. Epub 2010 Aug 12.
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A comparison of disease severity among affected male versus female patients with PHACE syndrome.患有PHACE综合征的男性与女性患者之间疾病严重程度的比较。
J Am Acad Dermatol. 2008 Jan;58(1):81-7. doi: 10.1016/j.jaad.2007.09.009. Epub 2007 Oct 29.
8
Patterns of infantile hemangiomas: new clues to hemangioma pathogenesis and embryonic facial development.婴儿血管瘤的模式:血管瘤发病机制及胚胎面部发育的新线索
Pediatrics. 2006 Mar;117(3):698-703. doi: 10.1542/peds.2005-1092.
9
The cephalic neural crest provides pericytes and smooth muscle cells to all blood vessels of the face and forebrain.头部神经嵴为面部和前脑的所有血管提供周细胞和平滑肌细胞。
Development. 2001 Apr;128(7):1059-68. doi: 10.1242/dev.128.7.1059.
10
PHACE syndrome. The association of posterior fossa brain malformations, hemangiomas, arterial anomalies, coarctation of the aorta and cardiac defects, and eye abnormalities.PHACE综合征。后颅窝脑畸形、血管瘤、动脉异常、主动脉缩窄及心脏缺陷和眼部异常的关联。
Arch Dermatol. 1996 Mar;132(3):307-11. doi: 10.1001/archderm.132.3.307.