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约汉森-布莱兹综合征的可变表达:一例严重表现病例及文献综述

Variable Expressivity in Johanson-Blizzard Syndrome: A Case With Severe Manifestations and a Review of the Literature.

作者信息

Ktyman Hanaa, Chaker Dana, Ahmad Haya, Kamil Hazem, Ajlouni Ali

机构信息

Faculty of Medicine Damascus University Damascus Syrian Arab Republic.

Stemosis for Scientific Research Damascus Syrian Arab Republic.

出版信息

JGH Open. 2025 Jul 27;9(8):e70236. doi: 10.1002/jgh3.70236. eCollection 2025 Aug.

DOI:10.1002/jgh3.70236
PMID:40735003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12301564/
Abstract

BACKGROUND

Johanson-Blizzard syndrome (JBS) is an exceedingly rare, autosomal recessively inherited disorder. It affects both males and females equally. Exocrine pancreatic insufficiency is the most common finding of the syndrome. The clinical presentation varies significantly among cases.

CASE PRESENTATION

A 6-month-old infant was referred due to persistent diarrhea and failure to gain weight. The diagnosis of JBS was made based on family history and medical investigations; pancreatic enzymes (Pancreatin) were the first line of therapy besides the fluids, blood transfusions, and vitamins. The exact cause of death remains unclear.

CONCLUSION

This case highlights the severe systemic nature of JBS. Early recognition and comprehensive management are crucial for improving outcomes.

摘要

背景

约-布综合征(JBS)是一种极为罕见的常染色体隐性遗传性疾病。男女发病率相同。外分泌性胰腺功能不全是该综合征最常见的表现。不同病例的临床表现差异很大。

病例报告

一名6个月大的婴儿因持续腹泻和体重不增前来就诊。根据家族史和医学检查诊断为JBS;除了补液、输血和补充维生素外,胰酶(胰蛋白酶)是一线治疗药物。确切死因尚不清楚。

结论

本病例突出了JBS严重的全身性特点。早期识别和综合管理对改善预后至关重要。

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本文引用的文献

1
Johanson-Blizzard Syndrome: A Case Report From Bahrain With a Literature Review.约翰森-布利扎德综合征:巴林的一例病例报告及文献综述
Cureus. 2024 Mar 11;16(3):e55969. doi: 10.7759/cureus.55969. eCollection 2024 Mar.
2
Incomplete Penetrance and Variable Expressivity: From Clinical Studies to Population Cohorts.不完全显性与可变表达:从临床研究到人群队列
Front Genet. 2022 Jul 25;13:920390. doi: 10.3389/fgene.2022.920390. eCollection 2022.
3
Severe forms of Johanson-Blizzard syndrome caused by two novel compound heterozygous variants in UBR1: Clinical manifestations, imaging findings and molecular genetics.
UBR1 中两个新的复合杂合变异导致的严重型 Johanson-Blizzard 综合征:临床表现、影像学表现和分子遗传学。
Pancreatology. 2020 Apr;20(3):562-568. doi: 10.1016/j.pan.2020.01.007. Epub 2020 Jan 17.
4
Expanding the mutational spectrum in Johanson-Blizzard syndrome: identification of whole exon deletions and duplications in the UBR1 gene by multiplex ligation-dependent probe amplification analysis.扩大乔汉森-布莱兹德综合征的突变谱:通过多重连接依赖探针扩增分析鉴定UBR1基因的全外显子缺失和重复
Mol Genet Genomic Med. 2017 Nov;5(6):774-780. doi: 10.1002/mgg3.319. Epub 2017 Jul 31.
5
Physiological functions and clinical implications of the N-end rule pathway.N端规则途径的生理功能及临床意义。
Front Med. 2016 Sep;10(3):258-70. doi: 10.1007/s11684-016-0458-7. Epub 2016 Sep 7.
6
Oblique facial clefts in Johanson-Blizzard syndrome.约-布综合征中的斜面部裂隙
Am J Med Genet A. 2016 Jun;170(6):1495-501. doi: 10.1002/ajmg.a.37630. Epub 2016 Mar 17.
7
Mutations in the human UBR1 gene and the associated phenotypic spectrum.人类UBR1基因中的突变及相关表型谱。
Hum Mutat. 2014 May;35(5):521-31. doi: 10.1002/humu.22538. Epub 2014 Apr 9.
8
Johanson-blizzard syndrome.约曼诺夫-暴雪综合征。
Indian Pediatr. 2013 May 8;50(5):510-2.
9
The N-end rule pathway.N-端规则途径。
Annu Rev Biochem. 2012;81:261-89. doi: 10.1146/annurev-biochem-051710-093308. Epub 2012 Apr 10.
10
Johanson-Blizzard syndrome.约曼逊-布莱克本综合征。
World J Gastroenterol. 2011 Oct 7;17(37):4247-50. doi: 10.3748/wjg.v17.i37.4247.