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在单个大规模线粒体DNA删除综合征中的内分泌异常和生长模式
Ayman Daka1,2, Einat Lahav2,3, Omer Bar Yosef2,4
1Pediatric Ward, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel HaShomer, Israel.
Acta paediatrica (Oslo, Norway : 1992)
|February 22, 2025
概括
患有单个大规模线粒体DNA缺失综合征 (SLSMDs) 的儿童经常患上内分泌系统疾病,包括矮身和低甲状腺症. 在SLSMD患者的童年和青春期,生长显著受损.
科学领域:
- 遗传学和内分泌学
- 线粒体疾病 线粒体疾病
- 儿科生长与发展 儿科生长与发展
背景情况:
- 单个大规模线粒体DNA缺失综合征 (SLSMDs) 是一种罕见的遗传疾病.
- 怀疑内分泌功能障碍和生长异常,但在SLSMD患者中没有很好的特征.
研究的目的:
- 确定患有SLSMD的儿童内分泌疾病的流行率.
- 分析增长模式,并确定该人口中的特定增长赤字.
主要方法:
- 在2017年2月至2024年9月期间,在谢巴医疗中心诊断出SLSMD的18名儿童的回顾性分析.
- 收集和分析内分泌疾病诊断,身高测量和生长标准偏差得分 (SDS).
主要成果:
- 所有患者 (100%) 在诊断后五年内至少发展出一种内分泌疾病.
- 最常见的内分泌问题是身材矮小 (94%),下甲状腺症 (83%),糖尿病 (33%) 和晚期青春期 (30%).
- 与一般人群相比,儿童和青少年时期的生长显著减少,身高较低的SDS和类似胰岛素的生长因子1-SDS.
结论:
- 内分泌疾病是SLSMD的普遍并发症.
- 在SLSMD患者中,生长轨迹显著受损.
- 定期和及时的内分泌评估对于管理SLSMD患者至关重要.
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