Watanabe Daisuke, Yagasaki Hideaki, Narusawa Hiromune, Inukai Takeshi
Department of Pediatrics, Faculty of Medicine, University of Yamanashi, Chuo, Japan.
Nagoya J Med Sci. 2025 Feb;87(1):144-149. doi: 10.18999/nagjms.87.1.144.
Short stature and growth retardation is a common condition in children. Genetic variations are responsible for many cases of short stature of unknown etiology. In particular, pathogenic copy number variants (CNVs) have been found in 10%-16% of children with unexplained short stature. This paper reports on a 5-year-old Japanese girl with both growth retardation and developmental delay associated with a 16p13.11 microduplication. Although the patient's mother also carries this microduplication, she did not show growth retardation and developmental delay. These cases illustrate the diverse phenotypic manifestations of 16p13.11 microduplication. Consequently, we conducted the literature review of 274 cases associated with this duplication revealed neurological disorders in approximately 70% of cases, 15.3% of these cases were associated with short stature. Diagnosis of 16p13.11 microduplication remains challenging due to its diverse symptomatology and elusive genotype-phenotype correlations. Comprehensive genetic evaluation is crucial for patients presenting with short stature and developmental disorders, underscoring the need for further investigation into the 16p13.11 microduplication to clarify its specific role and implications.
身材矮小和生长发育迟缓是儿童中的常见病症。基因变异是许多病因不明的身材矮小病例的原因。特别是,在10%-16%病因不明的身材矮小儿童中发现了致病性拷贝数变异(CNV)。本文报告了一名5岁日本女孩,她患有生长发育迟缓和发育迟缓,与16p13.11微重复相关。尽管患者的母亲也携带这种微重复,但她并未表现出生长发育迟缓和发育迟缓。这些病例说明了16p13.11微重复的多种表型表现。因此,我们对274例与这种重复相关的病例进行了文献综述,发现约70%的病例存在神经疾病,其中15.3%的病例与身材矮小有关。由于16p13.11微重复的症状多样且基因型-表型相关性难以捉摸,其诊断仍然具有挑战性。对于出现身材矮小和发育障碍的患者,全面的基因评估至关重要,这突出了进一步研究16p13.11微重复以阐明其具体作用和影响的必要性。