儿童时期ADH5/ALDH2缺乏的特征表型
Mio Matsumoto1, Momoko Oyake1, Tomoyo Itonaga1
1Department of Pediatrics, Oita University School of Medicine, Yufu-City, Oita, Japan.
European journal of medical genetics
|April 13, 2024
概括
化脱酶 (ALDH) 基因缺陷,如ADH5/ALDH2,导致罕见的遗传综合征. 早期诊断酒精和代谢功能障碍 (AMeD) 综合征对于管理各种症状和改善患者生活质量至关重要.
科学领域:
- 遗传学 遗传学 是一个
- 代谢障碍 代谢障碍 代谢障碍
- 罕见疾病 罕见疾病
背景情况:
- 与ADH5/ALDH2缺乏相关的酒精和代谢功能障碍 (AMeD) 综合征是一种罕见的遗传性疾病.
- 它表现出各种症状,包括身高矮,小头症,发育迟缓和造血功能障碍,有时模仿无塑性贫血或白血病.
- 非血液学和较轻的症状往往被忽视,延迟了诊断.
研究的目的:
- 描述患有AMED综合征表现的广泛范围的患者的临床过程.
- 总结之前报告的AMED综合征病例,以更好地了解其临床谱.
- 强调早期诊断对于具有较温和表型的患者的重要性.
主要方法:
- 一个被诊断患有AMED综合征的12岁女孩的详细病例报告.
- 文献综述和以前记录的AMED综合征病例的临床数据摘要.
- 对症状模式和诊断挑战的分析.
主要成果:
- 描述的患者呈现出非特异性造血性疾病,生长迟缓,轻度发育迟缓,眼盲,血细胞性淋巴细胞瘤和.
- 对18个已记录的病例 (13名女性,5名男性) 的审查揭示了无形性贫血,矮身和智力障碍的三重体.
- 在大约一半和四分之一的病例中,分别观察到色素沉积和骨困难.
结论:
- AMeD综合征表现出广泛的临床表现,从严重的血液问题到微妙的非血液症状.
- 早期识别患有较轻微表型的患者,包括皮肤或骨病变,至关重要.
- 及时诊断和管理可以显著改善AMeD综合征患者的生活质量.
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