45,X/46,XY马赛克:临床表现和长期随访
Ebba Alkhunaizi1,2,3, Jenna Plamondon Albrecht4, Mahmoud Aarabi5,6
1Division of Clinical and Metabolic Genetics, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
American journal of medical genetics. Part A
|October 26, 2023
概括
45,X/46,XY染色体马赛克导致各种健康问题,包括女性的矮身和阴道瘤. 这项研究澄清了大量患者队列中的全临床谱和长期结果.
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:
- 45,X/46,XY马赛克表现出不同的临床特征,从特纳综合征到正常的男性表型.
- 此前对这种疾病的研究队伍很小,随访时间有限,这阻碍了对临床谱和瘤风险的充分理解.
研究的目的:
- 综合描述 45,X/46,XY 马赛克症患者的临床表现和长期结果.
- 为了更好地界定这种人群中发生性腺瘤的相关风险.
主要方法:
- 在三个主要医疗中心对100名患有45,X/46,XY型的患者进行了回顾性图表审查.
- 对临床表型,生长模式,青春期诱导和淋巴腺瘤发病率的分析.
主要成果:
- 在100名患者中,47名是女性,53名是男性. 雌性比雄性显著矮一些.
- 增长激素治疗没有显示显著的身高增加. 所有女性都需要诱导青春期,与大多数男性不同.
- 五名女性患有淋巴腺瘤;没有男性受到影响. 大约有58%的人表现出特纳综合征的印.
结论:
- 这项大型队列研究扩大了对45X/46,XY马赛克相关的临床谱,长期结果和淋巴腺瘤风险的理解.
- 强调需要仔细监测和管理,包括对生长激素治疗和预防性淋巴切除术的考虑.
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