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患有青少年成熟型糖尿病5型及17q12缺失综合征的儿科患者:一例报告。

Pediatric patient with maturity-onset diabetes of the young type 5 and 17q12 deletion syndrome: A case report.

作者信息

Rico-Rodríguez Marta, Fuentes-Cantero Sandra, García-Rivera Marta Carolina, Varo-Sánchez Gema María

机构信息

Laboratory Medicine Department, Riotinto Hospital (Huelva North Health Management Area), 21660 Minas de Riotinto, Huelva, Spain.

出版信息

Med Int (Lond). 2025 Aug 11;5(5):61. doi: 10.3892/mi.2025.260. eCollection 2025 Sep-Oct.

Abstract

Maturity-onset diabetes of the young type 5 (MODY5), a rare disease, is often misdiagnosed as type 2 diabetes, leading to delays in diagnosis. 17q12 deletion syndrome is a rare chromosomal abnormality, the signs and symptoms of which can vary widely among different patients, including those with MODY5. The present study reports the case of a 9-year-old patient with chromosomal 17q12 deletion syndrome identified by the deletion of the 1.49 Mb segment in the 17q12 band of the HNF1B gene by genetic analysis. The patient presented with MODY5, a short stature and hypertransaminasemia as clinical features. The risk of inheritance of 17q12 deletion syndrome is ~50%, and genetic counseling is recommended for all patients who are suspected to have or are diagnosed with 17q12 deletion syndrome.

摘要

青年发病的成年型糖尿病5型(MODY5)是一种罕见疾病,常被误诊为2型糖尿病,导致诊断延误。17q12缺失综合征是一种罕见的染色体异常,其体征和症状在不同患者(包括患有MODY5的患者)中差异很大。本研究报告了一例9岁患者,通过基因分析发现其HNF1B基因17q12带中1.49 Mb片段缺失,从而确诊为染色体17q12缺失综合征。该患者以MODY5、身材矮小和高转氨酶血症为临床特征。17q12缺失综合征的遗传风险约为50%,建议对所有疑似患有或被诊断为17q12缺失综合征的患者进行遗传咨询。

本文引用的文献

4
Challenges in the diagnosis of diabetes type in pediatrics.儿科糖尿病诊断中的挑战。
Pediatr Diabetes. 2020 Nov;21(7):1064-1073. doi: 10.1111/pedi.13070. Epub 2020 Jul 23.
9
Maturity onset diabetes of the young: identification and diagnosis.青少年起病的成年型糖尿病:鉴定与诊断。
Ann Clin Biochem. 2013 Sep;50(Pt 5):403-15. doi: 10.1177/0004563213483458. Epub 2013 Jul 22.

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