儿童的轴突多神经病变和缺氧:考虑Perrault综合征,一个病例报告
Hannah E Munson1, Lenika De Simone2, Abigail Schwaede3
1Chicago College of Osteopathic Medicine, Midwestern University, Downers Grove, IL, USA. hannahmunson@gmail.com.
BMC medical genomics
|November 6, 2023
概括
佩罗综合征是一种罕见的遗传疾病,导致听力损失和淋巴腺问题. 这一案例突出显示,一个患有动力衰竭和神经病变的儿童被诊断为佩罗综合征,原因是TWNK基因变异.
科学领域:
- 遗传学 是一个遗传学.
- 神经学 神经学
- 眼科医生 眼科 眼科
背景情况:
- 佩罗综合征 (PRLTS) 是一种罕见的自体相衰退性疾病.
- 它的特点是双边感应神经听力损失和女性的淋巴腺功能障碍.
- 在CLPP,ERAL1,HARS2,HSD17B4,LARS2和TWNK基因中的遗传变异与PRLTS有关.
研究的目的:
- 在小儿病患者身上呈现Perrault综合征的病例.
- 突出诊断挑战和疾病的遗传基础.
主要方法:
- 临床检查包括神经评估和听觉脑干反应测试.
- 磁共振成像 (MRI) 和神经传导研究.
- 整体外体检测 (WES) 用于遗传分析.
主要成果:
- 一名4.5岁的女性呈现出动脉缩,轴突感觉运动多神经病变和听觉神经病变/听觉突触病变 (AN/AS).
- 怀疑CIDP的IVIG初始治疗是无效的.
- 在TWNK基因中,WES揭示了复合异合体变异体,证实了佩罗综合征.
结论:
- 在患有双边神经神经感官听力损失,轴突多神经病变和动脉缩的儿童中,应考虑佩罗综合征.
- 进一步的调查应包括对卵巢失调的评估和对已知PRLTS变异的遗传测试.
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