GNA11 R183C 马赛克主义的表型光谱
Donglin Zhang1, Luis Fernando Sánchez-Espino2,3, Marta Ivars4
1Department of Dermatology, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin, USA.
Pediatric dermatology
|December 10, 2024
概括
阴性GNA11 R183C变体会导致广泛的毛细管形 (CMs),通常是双边的,并与神经性贫血有关. 玻璃眼和生长差异是常见的,有潜在的leptomeningeal血管病变和发育延迟.
科学领域:
- 遗传学 是一个遗传学.
- 皮肤病学 皮肤病学
- 血管生物学 血管生物学
背景情况:
- 在GNAQ和GNA11中,后囊炎体质变异与血管异常有关.
- 与个别G蛋白变体相关的特定临床表型仍未得到充分研究.
研究的目的:
- 在患有血管异常的患者中描述GNA11 R183C变异的临床特征和皮肤外表现.
主要方法:
- 一个涉及17名患有血管异常,携带GNA11 R183C变种的多国病例系列.
- 高深度下一代测序用于突变识别.
- 数据包括详细的血管异常特征,成像和皮肤外发现.
主要成果:
- 确定了17名患者 (平均年龄为18岁) 患有体质GNA11 R183C变异.
- 典型的发现包括广泛的,双边的,划界不清的,粉红色至红色的毛细血管形 (CMs),通常伴有贫血神经 (53%) 和皮肤黑色素细胞 (13.3%).
- 常见的皮肤外表现包括四肢生长差异 (82%),玻璃眼 (29%) 和精神运动延迟 (29%). 一名患者患有与斯特尔格-韦伯综合征相一致的勒普托门内尔血管瘤.
结论:
- 该GNA11 R183C变异与一系列不同的毛细血管形 (CMs) 相关,经常呈现为广泛的,双边病变与贫血神经.
- 玻璃眼和生长差异是常见的并发症.
- 虽然可以发生勒普托门血管病变和发育迟缓,但与GNAQ相关疾病相比,它们可能不那么普遍或严重.
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