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[1例伴有软腭裂的穆恩克综合征病例报告及文献复习]

[A case report of Muenke syndrome with soft cleft palate and literature review].

作者信息

Sun Jialin, Wang Yiru, Shi Bing, Jia Zhonglin

机构信息

State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2025 Apr 1;43(2):275-279. doi: 10.7518/hxkq.2024.2024244.

DOI:10.7518/hxkq.2024.2024244
PMID:40132974
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11960400/
Abstract

Muenke syndrome is an autosomal dominant genetic disorder that is typically characterized by unilateral or bilateral coronal synostosis, macrocephaly, midface hypoplasia, and developmental delays. This article reports a case of Muenke syndrome with a soft cleft palate. A heterozygous missense mutation c.749C>G (p.P250A) was identified in the FGFR3 gene through genetic testing. The patient exhibited typical features including coronal synostosis, bilateral hearing loss, right accessory auricle, and developmental delays and underwent surgery to repair the soft cleft palate. Cases of Muenke syndrome with cleft palate in the literature are relatively rare, and common associated symptoms include coronal suture craniosynostosis and hearing impairment. This article reports a differential diagnosis with other craniosynostosis syndromes and provides a reference for clinical diagnosis and treatment.

摘要

穆恩克综合征是一种常染色体显性遗传疾病,其典型特征通常为单侧或双侧冠状缝早闭、巨头畸形、面中部发育不全以及发育迟缓。本文报告了一例伴有软腭裂的穆恩克综合征病例。通过基因检测在成纤维细胞生长因子受体3(FGFR3)基因中鉴定出一个杂合错义突变c.749C>G(p.P250A)。该患者表现出典型特征,包括冠状缝早闭、双侧听力丧失、右侧副耳以及发育迟缓,并接受了软腭裂修复手术。文献中伴有腭裂的穆恩克综合征病例相对少见,常见的相关症状包括冠状缝颅骨缝早闭和听力障碍。本文报告了与其他颅骨缝早闭综合征的鉴别诊断,为临床诊断和治疗提供参考。

相似文献

1
[A case report of Muenke syndrome with soft cleft palate and literature review].[1例伴有软腭裂的穆恩克综合征病例报告及文献复习]
Hua Xi Kou Qiang Yi Xue Za Zhi. 2025 Apr 1;43(2):275-279. doi: 10.7518/hxkq.2024.2024244.
2
Muenke Syndrome孟克综合征
3
Epilepsy in Muenke syndrome: FGFR3-related craniosynostosis.Muenke 综合征中的癫痫:成纤维细胞生长因子受体 3 相关颅缝早闭。
Pediatr Neurol. 2012 Nov;47(5):355-61. doi: 10.1016/j.pediatrneurol.2012.07.004.
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A familial case of Muenke syndrome. Diverse expressivity of the FGFR3 Pro252Arg mutation--case report and review of the literature.一例Muenke综合征家族病例。FGFR3基因Pro252Arg突变的不同表达——病例报告及文献复习
J Matern Fetal Neonatal Med. 2014 Sep;27(14):1502-6. doi: 10.3109/14767058.2013.860520. Epub 2013 Nov 29.
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Phenotype profile of a genetic mouse model for Muenke syndrome.孟克综合征基因小鼠模型的表型概况
Childs Nerv Syst. 2012 Sep;28(9):1483-93. doi: 10.1007/s00381-012-1778-9. Epub 2012 Aug 8.
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Muenke syndrome (FGFR3-related craniosynostosis): expansion of the phenotype and review of the literature.穆恩克综合征(与成纤维细胞生长因子受体3相关的颅缝早闭症):表型扩展及文献综述
Am J Med Genet A. 2007 Dec 15;143A(24):3204-15. doi: 10.1002/ajmg.a.32078.
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Muenke syndrome: An international multicenter natural history study.穆恩克综合征:一项国际多中心自然史研究。
Am J Med Genet A. 2016 Apr;170A(4):918-29. doi: 10.1002/ajmg.a.37528. Epub 2016 Jan 6.
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Phenotypic variability in Muenke syndrome-observations from five Danish families.Muenke综合征的表型变异性——来自五个丹麦家庭的观察结果
Clin Dysmorphol. 2020 Jan;29(1):1-9. doi: 10.1097/MCD.0000000000000300.
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Talocalcaneal coalition in Muenke syndrome: report of a patient, review of the literature in FGFR-related craniosynostoses, and consideration of mechanism.Muenke 综合征中的跟距骨桥:1 例患者报告,FGFR 相关颅缝早闭症文献复习及发病机制探讨
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Am J Med Genet A. 2019 Aug;179(8):1442-1450. doi: 10.1002/ajmg.a.61199. Epub 2019 May 20.

本文引用的文献

1
Craniofacial characteristics in Crouzon's syndrome: A systematic review and meta-analysis.颅面特征在颅缝早闭综合征中的表现:系统评价和荟萃分析。
Sci Prog. 2023 Jan-Mar;106(1):368504231156297. doi: 10.1177/00368504231156297.
2
Phenotypic variability in Muenke syndrome-observations from five Danish families.Muenke综合征的表型变异性——来自五个丹麦家庭的观察结果
Clin Dysmorphol. 2020 Jan;29(1):1-9. doi: 10.1097/MCD.0000000000000300.
3
Muenke syndrome: Medical and surgical comorbidities and long-term management.Muenke 综合征:合并症的医学和外科治疗及长期管理。
Am J Med Genet A. 2019 Aug;179(8):1442-1450. doi: 10.1002/ajmg.a.61199. Epub 2019 May 20.
4
Muenke syndrome: An international multicenter natural history study.穆恩克综合征:一项国际多中心自然史研究。
Am J Med Genet A. 2016 Apr;170A(4):918-29. doi: 10.1002/ajmg.a.37528. Epub 2016 Jan 6.
5
A familial case of Muenke syndrome. Diverse expressivity of the FGFR3 Pro252Arg mutation--case report and review of the literature.一例Muenke综合征家族病例。FGFR3基因Pro252Arg突变的不同表达——病例报告及文献复习
J Matern Fetal Neonatal Med. 2014 Sep;27(14):1502-6. doi: 10.3109/14767058.2013.860520. Epub 2013 Nov 29.
6
Muencke syndrome with cleft lip and palate.伴有唇腭裂的明克综合征。
J Craniofac Surg. 2013 Jul;24(4):1484-5. doi: 10.1097/SCS.0b013e31829035c3.
7
Epilepsy in Muenke syndrome: FGFR3-related craniosynostosis.Muenke 综合征中的癫痫:成纤维细胞生长因子受体 3 相关颅缝早闭。
Pediatr Neurol. 2012 Nov;47(5):355-61. doi: 10.1016/j.pediatrneurol.2012.07.004.
8
Palatal and oral manifestations of Muenke syndrome (FGFR3-related craniosynostosis).穆恩克综合征(FGFR3相关颅缝早闭)的腭部和口腔表现。
J Craniofac Surg. 2012 May;23(3):664-8. doi: 10.1097/SCS.0b013e31824db8bb.
9
Early onset of craniosynostosis in an Apert mouse model reveals critical features of this pathology.Apert小鼠模型中颅缝早闭的早期发作揭示了这种病理状况的关键特征。
Dev Biol. 2009 Apr 15;328(2):273-84. doi: 10.1016/j.ydbio.2009.01.026. Epub 2009 Jan 29.
10
Muenke syndrome (FGFR3-related craniosynostosis): expansion of the phenotype and review of the literature.穆恩克综合征(与成纤维细胞生长因子受体3相关的颅缝早闭症):表型扩展及文献综述
Am J Med Genet A. 2007 Dec 15;143A(24):3204-15. doi: 10.1002/ajmg.a.32078.