Hecht Jacqueline T, Barreda-Bonis Ana-Coral, Posey Karen L
Pediatrics, McGovern Medical School, UTHealth Houston, Houston, USA.
Endocrinologist, Unidad Multidisciplinar de Displasias Esqueléticas, Hospital Universitario La Paz, Madrid, ESP.
Cureus. 2025 Mar 25;17(3):e81195. doi: 10.7759/cureus.81195. eCollection 2025 Mar.
This case report details the successful use of over-the-counter resveratrol and CurQ+ in a five-year-old with pseudoachondroplasia (PSACH), a severe dwarfing condition caused by mutations in cartilage oligomeric matrix protein (COMP). Disproportionate short stature, abnormal joints, joint deformities, and pain starting in early childhood are characteristic findings. Adult treatments include non-steroidal anti-inflammatory drugs (NSAIDs) and joint replacement to manage joint pain. Childhood pain goes largely untreated given the concern of daily use of NSAIDs in the very young. Recently, resveratrol has been shown to reduce pain and CurQ+ improves growth in a mouse model of PSACH. The use of these over-the-counter supplements has been adopted by some families with PSACH children. One such case in this report has a daily intake of resveratrol and CurQ+ at 125 mg of trans-resveratrol and 0.66 g, respectively, in the 16.6 kg child. This resulted in a dosage of 7.6 mg/kg of resveratrol and 40 mg/kg of CurQ+ daily. To date, no side effects from CurQ+ and resveratrol were reported in the child. Pain made walking to school very difficult (600 m) prior to the use of supplements and now the child walks to school without assistance or complaint.
本病例报告详细介绍了非处方白藜芦醇和CurQ+在一名患有假性软骨发育不全(PSACH)的5岁儿童中的成功应用。PSACH是一种由软骨寡聚基质蛋白(COMP)突变引起的严重侏儒症。不成比例的身材矮小、关节异常、关节畸形以及幼儿期开始出现的疼痛是其典型表现。成人治疗方法包括使用非甾体抗炎药(NSAIDs)和关节置换来控制关节疼痛。鉴于幼儿每日使用NSAIDs的担忧,儿童期疼痛在很大程度上未得到治疗。最近,在PSACH小鼠模型中,白藜芦醇已被证明可减轻疼痛,CurQ+可促进生长。一些有PSACH患儿的家庭采用了这些非处方补充剂。本报告中的一个此类病例是,一名体重16.6千克的儿童每天分别摄入125毫克反式白藜芦醇和0.66克CurQ+。这导致每天白藜芦醇的剂量为7.6毫克/千克,CurQ+的剂量为40毫克/千克。迄今为止,该儿童未报告CurQ+和白藜芦醇有任何副作用。在使用补充剂之前,疼痛使孩子步行600米上学非常困难,而现在孩子无需帮助或抱怨就能步行上学。