成年人的普拉德-威利综合征:皮肤和眼科特征的病例报告在文献中没有得到充分记录
Isaac Elijah1, Gurnoor S Gill1, Allen Sklaver2
1Medical School, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Cureus
|October 24, 2025
概括
普拉德-威利综合征 (PWS) 可以导致严重的成人并发症,如果未诊断,包括肥胖和认知能力下降. 早期识别和多学科护理对于管理PWS和预防长期残疾至关重要.
科学领域:
- 遗传学 遗传学 是一个
- 内分泌学 在内分泌学.
- 内部医学 内部医学
背景情况:
- 普拉德-威利综合征 (PWS) 是一种复杂的遗传性疾病,其特点是婴儿低血压和食问题,进展到过,肥胖和代谢并发症.
- 成年PWS管理通常涉及解决严重肥胖,认知障碍和相关并发症,但仍可能出现不典型的表现.
研究的目的:
- 描述一个独特的遗传未诊断的普拉德-威利综合征病例在一个32岁的男性.
- 为了突出延迟PWS诊断和管理的严重成年后果.
- 探索PWS,慢性炎症和眼部发现之间的潜在关联.
主要方法:
- 一个32岁的男性患有未诊断的PWS的病例报告.
- 临床评估包括BMI,认知功能和体检.
- 审查潜在的二次并发症和不典型的PWS表现.
主要成果:
- 患者呈现出渐进的肌肉衰弱,严重肥胖 (BMI 39.3),认知障碍和功能下降.
- 观察到非常见的牛皮和双边结与的发现.
- 显著的并发症包括高血压,糖尿病前期和肌肉骨功能障碍,表明长期的代谢功能障碍.
结论:
- 晚期诊断PWS可能会导致严重的,渐进的残疾和并发症.
- 牛皮和眼部异常的存在可能表明与慢性炎症和PWS相关的内分泌功能障碍的相互作用.
- 强调急需早期识别PWS,多学科护理和长期跟进以减轻风险.
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