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弗雷泽综合征:基于越南一例病例及过去20年研究的叙述性综述

Fraser Syndrome: A Narrative Review Based on a Case from Vietnam and the Past 20 Years of Research.

作者信息

Thi Pham Xuan Trang, Nguyen Phuc Nhon, Hoang Xuan Song

机构信息

Department of Pathology Pregnancy, Tu Du Hospital, 284 Cong Quynh Street, Pham Ngu Lao Ward, District 1, Ho Chi Minh City 700000, Vietnam.

Clinical Research Center, Tu Du Hospital, Ho Chi Minh City 71012, Vietnam.

出版信息

Diagnostics (Basel). 2025 Jun 25;15(13):1606. doi: 10.3390/diagnostics15131606.

Abstract

: Fraser syndrome (FS) is a rare autosomal recessive disorder. However, the clinical presentation remains variable. Diagnosis is based on a series of major and minor clinical criteria that can be supported by genetic tests. Prenatal diagnosis remains challenging. : Herein, we reported a case of Fraser syndrome that was missed by ultrasound and diagnosed late at birth. The newborn presented with cryptophthalmos-syndactyly syndrome and absence of the right kidney. Based on a literature review of articles from the past 20 years, the authors found 40 cases, including indexed cases on PUBMED, Scopus, Web of Science, and Scholar using keywords related to "Fraser syndrome". Through this report, we discuss the polymalformative syndrome, the clinical and paraclinical aspects of this syndrome, its clinical management, and highlight the importance of prenatal diagnosis in the light of research. : Our study found that consanguine parents (41.0%) were increasing risk factors for FS and poor socio-economic status delayed the early detection of FS. Among the 40 cases, 27 cases were detected postnatally. More than half of the cases resulted in poor perinatal outcomes. The common findings were cryptophthalmos (87.5%), syndactyly (87.5%), renal abnormalities (55.5%), and genital abnormalities (42.5%). : A prenatal diagnosis of Fraser syndrome is still difficult. Thus, a counseled ultrasound scan at a specialized center should be recommended in suspected cases with indirect signs and risk factors of consanguinity.

摘要

弗雷泽综合征(FS)是一种罕见的常染色体隐性疾病。然而,其临床表现仍具有多样性。诊断基于一系列主要和次要临床标准,基因检测可提供支持。产前诊断仍然具有挑战性。

在此,我们报告一例弗雷泽综合征病例,该病例在超声检查时被漏诊,出生时诊断较晚。新生儿表现为隐眼并指综合征且右肾缺如。通过对过去20年文章的文献综述,作者发现了40例病例,包括使用与“弗雷泽综合征”相关关键词在PubMed、Scopus、科学网和谷歌学术上检索到的索引病例。通过本报告,我们讨论了这种多畸形综合征、该综合征的临床和辅助检查方面、其临床管理,并根据研究强调了产前诊断的重要性。

我们的研究发现,近亲父母(41.0%)是FS的风险增加因素,社会经济地位差会延迟FS的早期发现。在这40例病例中,27例在出生后被检测到。超过一半的病例围产期结局不佳。常见表现为隐眼(87.5%)、并指(87.5%)、肾脏异常(55.5%)和生殖器异常(42.5%)。

弗雷泽综合征的产前诊断仍然困难。因此,对于有间接体征和近亲风险因素的疑似病例,建议在专业中心进行咨询性超声检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70e3/12249031/e6f6f27cd349/diagnostics-15-01606-g001a.jpg

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