在安吉尔曼综合征中,身高矮和生长特征明显
Noah Gruber1,2, Ayman Daka1,3, Noy Lapidot1,3
1Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Hormone research in paediatrics
|October 16, 2023
概括
安吉尔曼综合征 (AS) 患者表现出明显的生长模式,往往导致身高矮,特别是在那些有删除亚型的患者中. 这项研究建议将矮身添加到AS临床标准中,因为最终身高降低和IGF1水平降低.
科学领域:
- 遗传学 是一个遗传学.
- 内分泌学 在内分泌学.
- 儿科 儿科 儿科
背景情况:
- 安吉尔曼综合征 (AS) 是一种罕见的遗传疾病,影响神经发育.
- AS的特点是语言和运动障碍,独特的行为和频繁的.
- 在AS患者中观察到矮身,但不是当前临床标准的一部分.
研究的目的:
- 为了研究安吉尔曼综合征患者的生长模式.
- 根据突变类型,生长期和内分泌因素分析生长变异.
- 评估将矮身纳入AS诊断标准中的可能性.
主要方法:
- 从AS国家诊所患者档案中回顾性数据收集.
- 将AS突变分类为删除和非删除的亚型.
- 分析了四个时期的成长情况:学龄前,童年,峰值身高速度和最终身高.
主要成果:
- 与一般人群相比,AS患者的最终身高明显较低 (SDS -1.23).
- 与非删除 (SDS -0.65) 相比,删除亚型AS患者的最终身高甚至更低 (SDS -1.67).
- 观察到IGF1-SDS水平降低,特别是在删除组中,与最终身高降低相关.
结论:
- 亚氏症患者表现出生长减速,导致最终身高显著降低,特别是在删除亚型中.
- 降低IGF1水平可能导致AS观察到的矮身.
- 建议将矮身纳入AS临床标准,并制定AS特定的生长图表.
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