病例报告:贝克维思-维德曼综合征与减少的H19表达
Meng Wang1, Jiegang Deng1, Shuhua Xing1
1Department of Cardiology, Tianjin Children's Hospital (Tianjin University Children's Hospital), Tianjin, China.
Frontiers in pediatrics
|November 20, 2025
概括
贝克维特-维德曼综合征 (BWS) 是通过甲基化测试来诊断的,即使是正常的副本数. 早期评估和多学科后续对管理这种印记性疾病和改善患者的治疗结果至关重要.
科学领域:
- 遗传学 是一个遗传学.
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
背景情况:
- 贝克维特-维德曼综合征 (BWS) 是一种先天性印记障碍.
- 关键特征包括巨,椎,巨,以及瘤易感性增加.
- 分子机制涉及在11p15.5.5的DNA甲基化变化.
研究的目的:
- 呈现一个BWS病例与特定的分子和临床发现.
- 突出BWS中甲基化测试的诊断实用性.
- 强调BWS患者多学科随访的重要性.
主要方法:
- 一个2个月大的女婴患有BWS的案例报告.
- 通过在印记控制区域1 (IC1) 和多重结依赖探头放大 (MLPA) 的甲基化测试证实了诊断.
- 临床评估包括心声回声,心电图和后续评估.
主要成果:
- 这位患者呈现出典型的BWS特征和复发性心房动脉冲动.
- 甲基化测试显示,在正常拷贝数的IC1中甲基化增加.
- 手术后,患者的言语表现有所改善,没有瘤发育,尽管心房低心率复发.
结论:
- 甲基化测试对于BWS诊断至关重要,特别是当副本数量正常时.
- 患有巨,巨和椎的婴儿需要进行BWS评估.
- 长期跟踪瘤监测和心脏监测对于最佳预后至关重要.
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