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[韦弗综合征。委内瑞拉首例报告病例]

[Weaver syndrome. 1st case reported in Venezuela].

作者信息

Sánchez O, Boufajreldin S, Oranges C, Orta C, Guerra D

机构信息

Centro de Microscopía Electrónica, Unidad de Genética, Universidad de Oriente, Estado Bolívar, Venezuela.

出版信息

Invest Clin. 1997 Mar;38(1):9-24.

PMID:9235073
Abstract

A 2 years and 9 months old female patient, with the diagnosis of Weaver syndrome is reported. The proband presents persistent pre and post-natal overgrowth, asynchronic advanced bone age, particular facies, (macrocephaly, ocular hypertelorism, micrognathia, large ears), bilateral widening of the distal femoral metaphysis, bilateral tibia vara, prominent fetal fingerpads, clinodactyly, development delay, low pitched and hoarse cry, nonspecific cortical atrophy, dilation of the ventricles and vermix hypoplasia. The differential diagnosis with other overgrowth syndromes is discussed. The possibility of uniparental disomy and genetic imprinting as the basic genetic defect in the Weaver syndrome is suggested. The patient reported here appears to be the first case in the Venezuelan literature.

摘要

本文报道了一名2岁9个月大的女性患者,诊断为韦弗综合征。先证者表现出出生前和出生后持续过度生长、骨龄异步提前、特殊面容(巨头畸形、眼距增宽、小颌畸形、大耳)、双侧股骨远端干骺端增宽、双侧胫骨内翻、胎儿指垫突出、手指弯曲、发育迟缓、哭声低沉嘶哑、非特异性皮质萎缩、脑室扩张和蚓部发育不全。文中讨论了与其他过度生长综合征的鉴别诊断。提示单亲二体和基因印记可能是韦弗综合征的基本遗传缺陷。本文报道的患者似乎是委内瑞拉文献中的首例病例。

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