唐氏综合征和急性淋巴细胞白血病患者的莫亚莫亚综合征
Robert Lisac1, Ryan J Summers1, D John Bergsagel1
1Department of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta and Emory University, Atlanta, Georgia, USA.
患有唐氏综合征 (DS) 的儿童面临莫亚莫亚综合征 (MMS) 和白血病的更高风险. 这项研究报告了四例DS,MMS和急性淋巴细胞白血病 (ALL) 三位一体的病例,强调在ALL治疗期间对MMS的认识.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 遗传学 遗传学 是一个
背景情况:
- 莫亚莫亚综合征 (MMS) 是一种进展性脑血管疾病,导致中风风险.
- 患有唐氏综合征 (DS) 的儿童患白血病和MMS等并发症的风险较高.
- DS,MMS和急性淋巴细胞白血病 (ALL) 的同时发生是罕见但显著的.
研究的目的:
- 报告患有唐氏综合征,莫亚莫亚综合征和急性淋巴细胞白血病的罕见三位一体患者的临床表现和管理.
- 强调在接受白血病治疗的唐氏综合征儿科患者中识别莫亚莫亚综合征的重要性.
主要方法:
- 对4名患有唐氏综合征,莫亚莫亚综合征和急性淋巴细胞白血病的患者的病例系列审查.
- 与急性淋巴细胞白血病治疗相关的莫亚莫亚综合征诊断时间表的分析.
主要成果:
- 四名儿科患者出现了唐氏综合征,莫亚莫亚综合征和急性淋巴细胞白血病三重症.
- 两名患者在急性淋巴细胞白血病治疗前被诊断出莫亚莫亚综合征,两名患者在治疗期间被诊断出莫亚莫亚综合征.
- 这些患者的神经变化需要仔细监测和管理.
结论:
- 唐氏综合征,莫亚莫亚综合征和急性淋巴细胞白血病的同时发生,带来了独特的临床挑战.
- 对莫亚莫亚综合征的提高警对于唐氏综合征患者至关重要,特别是那些患有急性淋巴细胞白血病和神经症状的人.
- 早期识别和管理莫亚莫亚综合征可以减轻这一脆弱人群中风风险.
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