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额缝早闭合并轴前多指畸形中一种新的杂合致病性变异的检测:病例报告

Detection of a new heterozygous pathogenic variant in metopic craniosynostosis with preaxial polysyndactyly: A case report.

作者信息

Nhongo Sipho Simon, Simpson Eilidh, Halsnad Moorthy, Sangra Meharpal, Shafi Ahad, Campbell Jamie, Thompson Louise, Moore David

机构信息

Specialty Registrar, Oral and Maxillofacial Surgery, Scottish National Centre for Craniofacial Surgery, Royal Hospital for Children, Glasgow, UK.

Third Year Medical Student at the University of Glasgow, Glasgow, UK.

出版信息

JPRAS Open. 2025 Jun 3;45:170-175. doi: 10.1016/j.jpra.2025.05.013. eCollection 2025 Sep.

DOI:10.1016/j.jpra.2025.05.013
PMID:40606574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12221604/
Abstract

Craniosynostosis is a congenital condition caused by the early fusion of one or more skull vault sutures during embryological development, resulting in an abnormal head shape. This condition has been linked to many gene variants. The authors report a case of a novel heterozygous pathogenic variant, in a young boy presenting with metopic craniosynostosis with preaxial polysyndactyly. Craniosynostosis is a rarely reported feature of related disorder. This report highlights the investigations that were performed to identify this variant and details the child's surgical management and outcome.

摘要

颅缝早闭是一种先天性疾病,由胚胎发育过程中一个或多个颅顶骨缝过早融合引起,导致头部形状异常。这种疾病与许多基因变异有关。作者报告了一例新的杂合致病性变异病例,该病例为一名患有额缝早闭并伴有轴前多指畸形的小男孩。颅缝早闭是相关疾病中鲜有报道的特征。本报告重点介绍了为识别该变异所进行的调查,并详细说明了患儿的手术治疗及结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e2/12221604/92ea72e2b7c9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e2/12221604/337c5c7dfb42/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e2/12221604/92ea72e2b7c9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e2/12221604/337c5c7dfb42/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e2/12221604/92ea72e2b7c9/gr2.jpg

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Detection of a new heterozygous pathogenic variant in metopic craniosynostosis with preaxial polysyndactyly: A case report.额缝早闭合并轴前多指畸形中一种新的杂合致病性变异的检测:病例报告
JPRAS Open. 2025 Jun 3;45:170-175. doi: 10.1016/j.jpra.2025.05.013. eCollection 2025 Sep.
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本文引用的文献

1
Significant phenotypic variability in a multigenerational family with an missense mutation: Case series and review of the literature.一个具有错义突变的多代家族中的显著表型变异性:病例系列及文献综述。
Clin Case Rep. 2024 Jan 5;12(1):e8307. doi: 10.1002/ccr3.8307. eCollection 2024 Jan.
2
haploinsufficiency: case series and literature review.单倍剂量不足:病例系列研究与文献综述
Front Pediatr. 2023 Oct 17;11:1292654. doi: 10.3389/fped.2023.1292654. eCollection 2023.
3
Review of Recurrently Mutated Genes in Craniosynostosis Supports Expansion of Diagnostic Gene Panels.
颅缝早闭症中反复突变基因的研究进展支持诊断基因panel 的扩展。
Genes (Basel). 2023 Feb 28;14(3):615. doi: 10.3390/genes14030615.
4
Phenotypic Spectrum of Haploinsufficiency: Two Additional Cases and Review of the Literature.表型谱的单倍体不足:两个附加案例和文献复习。
Genes (Basel). 2022 Nov 30;13(12):2249. doi: 10.3390/genes13122249.
5
Benefits of clinical criteria and high-throughput sequencing for diagnosing children with syndromic craniosynostosis.临床标准和高通量测序在诊断综合征性颅缝早闭患儿中的作用。
Eur J Hum Genet. 2021 Jun;29(6):920-929. doi: 10.1038/s41431-020-00788-4. Epub 2020 Dec 7.
6
Flexible and scalable diagnostic filtering of genomic variants using G2P with Ensembl VEP.使用 G2P 和 Ensembl VEP 实现基因组变异的灵活可扩展诊断筛选。
Nat Commun. 2019 May 30;10(1):2373. doi: 10.1038/s41467-019-10016-3.
7
Juvenile Moyamoya and Craniosynostosis in a Child with Deletion 1p32p31: Expanding the Clinical Spectrum of 1p32p31 Deletion Syndrome and a Review of the Literature.1p32p31 缺失综合征患儿的幼年烟雾病和颅缝早闭:临床谱的扩展及文献复习。
Int J Mol Sci. 2017 Sep 17;18(9):1998. doi: 10.3390/ijms18091998.
8
Familial craniosynostosis associated with a microdeletion involving the NFIA gene.与涉及NFIA基因的微缺失相关的家族性颅缝早闭
Clin Dysmorphol. 2015 Jul;24(3):109-12. doi: 10.1097/MCD.0000000000000079.
9
An intragenic deletion of the NFIA gene in a patient with a hypoplastic corpus callosum, craniofacial abnormalities and urinary tract defects.一名患有胼胝体发育不全、颅面异常和尿路缺陷的患者,其NFIA基因发生基因内缺失。
Eur J Med Genet. 2014 Feb;57(2-3):65-70. doi: 10.1016/j.ejmg.2013.12.011. Epub 2014 Jan 22.