多重自我愈合的状上皮瘤和洛伊斯-迪茨综合征:单个TGFBR1变体,一个患者的两个表型
Emilie Moeris1, Gladys Battisti2, Antoine Lenne3
1Plastic and Reconstructive Surgery, Grand Hopital de Charleroi, Charleroi, Belgium emiliemoeris@hotmail.be.
BMJ case reports
|February 11, 2025
概括
弗格森-史密斯和洛伊斯-迪茨综合征的多种自我愈合的状上皮瘤,通常与不同的遗传变异有关,在一名患者身上观察到. 这种双重的表型与TGFBR1基因中的单一致病变体有关.
科学领域:
- 遗传学 是一个遗传学.
- 皮肤病学 皮肤病学
- 心脏病学 心脏病学
背景情况:
- 弗格森-史密斯多重自我愈合状上皮瘤 (MSHSEFS) 增加了角质瘤风险.
- 洛伊斯-迪茨综合征 (LDS) 涉及连接组织疾病和动脉脆弱性,通常没有增加皮肤瘤风险.
- 这两种情况都与TGFBR1基因的独特致病变异有关,TGFBR1基因对TGF-β信号传递至关重要.
研究的目的:
- 报告一个罕见的病例,患者表现出MSHSEFS和LDS表型.
- 调查这些不同疾病在同一病人身上同时发生的遗传基础.
主要方法:
- 临床病例的介绍.
- 基因测序用于识别TGFBR1基因中的致病变体.
主要成果:
- 该患者呈现出MSHSEFS和LDS的临床特征.
- 在TGFBR1基因中发现了一种单一的可能致病变体c.1421G>A (p.Cyst474Tyr).
- 这种变体位于TGFBR1.1.的蛋白质激酶域中.
结论:
- 一个TGFBR1的单一致病变体可以导致MSHSEFS和LDS表型.
- 这一发现扩大了与TGFBR1变异相关的已知表型谱.
- 这是该地区与TGFBR1变种相关的这种双重呈现的第四个报告病例.
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