在最初呈现几十年后诊断出巴拉卡特综合征
Umberto Spennato1, Jennifer Siegwart1, Britta Hartmann2
1Medical University Clinic, Division of Endocrinology, Diabetes, and Metabolism, Cantonal Hospital Aarau, Switzerland.
Endocrinology, diabetes & metabolism case reports
|December 20, 2023
概括
巴拉卡特综合征 (HDR综合征) 是一种罕见的遗传疾病,其特征是缺甲状腺症,聋和病. 基因分析发现了GATA3变异,证实了诊断,并强调了考虑罕见遗传疾病的重要性.
科学领域:
- 遗传学 是一个遗传学.
- 内分泌学 在内分泌学.
- 罕见疾病 罕见疾病
背景情况:
- 巴拉卡特综合征 (HDR综合征) 是一种罕见的遗传性疾病,结合了下甲状腺症 (H),感觉神经耳聋 (D) 和病 (R).
- 由于HDR综合征的罕见性和多样性症状,诊断可能具有挑战性.
- 基因分析对于确认诊断至关重要,特别是具有暗示性的临床表现和家族病史.
研究的目的:
- 介绍一个64岁妇女患有巴拉卡特综合征的病例.
- 突出HDR综合征复杂病例中的诊断过程和遗传发现.
- 强调在临床实践中考虑罕见遗传疾病的重要性.
主要方法:
- 一个64岁的妇女的临床病例介绍,她有过下甲状腺功能障碍和神经传感性聋.
- 基因分析揭示了一个GATA3:c.916C>T无意义变体.
- 通过听力测量,实验室测试和脏成像来确认诊断.
主要成果:
- 鉴定出一种致病性GATA3变体,证实了巴拉卡特综合征的诊断.
- 该患者的症状,包括渐进的感觉神经耳聋和异常性偏偏甲状腺症,与HDR综合征一致.
- 这项研究支持GATA3测试在诊断巴拉卡特综合征方面的实用性.
结论:
- 医生应该考虑罕见的遗传疾病,如巴拉卡特综合征在患者有暗示性症状,即使在晚期发病.
- 准确诊断HDR综合征有助于患者的理解,并对家庭成员产生影响.
- 在临床实践中,对遗传性疾病的持续重新评估是必不可少的.
相关概念视频
Autism Spectrum Disorder
100
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
100
Barrett Esophagus-I: Introduction
98
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
98
Schizophrenia
87
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
87
Pedigree Analysis
84.3K
Overview
84.3K
Attention-Deficit/Hyperactivity Disorder
68
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
68
Oppositional Defiant Disorder
25
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
25


