[Phelan-McDermid综合征与SHANK3基因中的新型异质合变异相关]
D V I1,2, T N Proskokova2
1Khabarovsk Center for the Development of Psychology and Childhood «Psylogia», Khabarovsk, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|September 1, 2023
概括
费兰-麦克德米德综合征 (PMS) 是一种罕见的遗传疾病. 准确的分子诊断对于管理发育迟缓和等症状以及家庭遗传咨询至关重要.
科学领域:
- 遗传学 是一个遗传学.
- 神经发育障碍 神经发育障碍
背景情况:
- 费兰-麦克德米德综合征 (PMS) 是一种由染色体22q13缺失或SHANK3突变引起的遗传疾病.
- 孕前综合征的特点是智力障碍,言语和精神延迟,和自闭症谱系障碍.
- 由于多种不同的遗传变化,PMS的临床表现具有显著的变异性.
研究的目的:
- 报告一个具有特定SHANK3突变的费兰-麦克德米德综合征 (PMS) 病例.
- 突出PMS病例的诊断挑战和时间表.
- 强调分子诊断对于PMS管理和遗传咨询的重要性.
主要方法:
- 一个被诊断患有PMS的女性患者的病例报告.
- 基因分析以确定SHANK3突变 (c.2486delC,p.Pro829fs).
- 审查患者的诊断过程和临床表现.
主要成果:
- 在该患者身上发现了SHANK3基因中的异构基因突变c.2486delC (p.Pro829fs).
- 这位患者的诊断过程持续了七年多.
- 该患者出现了和语音发育障碍,在PMS中很常见.
结论:
- 准确的分子诊断对于识别费兰-麦克德米德综合征至关重要.
- 了解遗传基础,包括SHANK3中的突变,有助于管理PMS.
- 早期和精确的诊断有助于为受影响的家庭提供适当的医疗护理和遗传咨询.
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