亚当斯-奥利弗综合征:基因组时代的临床诊断
Srinivas Gl1, Jignesh Sharma2, Sabavath Arun1
1Pediatrics, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Cureus
|January 19, 2026
概括
亚当斯-奥利弗综合征 (AOS) 是一种罕见的先天性疾病. 这一案例凸显了临床评估对AOS诊断的重要性,即使基因测试是不确定的,强调了多学科的护理.
科学领域:
- 遗传学 遗传学 是一个
- 儿科 儿科 儿科
- 医学案例报告 病例报告
背景情况:
- 亚当斯-奥利弗综合征 (AOS) 是一种罕见的先天性疾病,其特点是头皮缺陷和四肢形.
- 虽然几个基因 (ARHGAP31,DLL4,NOTCH1,DOCK6) 与AOS有关,但一些病例仍未在遗传学上得到解决.
研究的目的:
- 报告一名怀疑患有亚当斯-奥利弗综合征的儿童与血缘亲属的病例.
- 讨论诊断挑战和临床判断的作用,当遗传检测是负面的.
主要方法:
- 临床检查一个四岁的女性,她患有先天性肌肉无形成症和肢体无形成症.
- 心声图用于评估心脏异常.
- 整体外体测序 (WES) 用于识别潜在的遗传变异.
主要成果:
- 患者符合AOS的诊断标准,但WES没有显示出任何致病变体.
- 鉴定出一个小心脏隔膜缺陷,符合小AOS标准.
- 该案强调了当前复杂先天性疾病遗传检测的局限性.
结论:
- 尽管基因测序取得了进展,但一些AOS病例可能具有无法检测的突变.
- 血管干扰理论是观察到的三元异常的一个合理的机制.
- 临床评估和确定的诊断标准对于AOS诊断和管理至关重要.
相关概念视频
06:48Fingerprinting Cardiolipin in Leukocytes by Mass Spectrometry for a Rapid Diagnosis of Barth Syndrome
2.7K
This protocol shows how to obtain a mass spectrometric "fingerprint" of leukocyte cardiolipin for the diagnosis of Barth syndrome. The assessment of elevated monolysocardiolipin to cardiolipin ratio discriminates patients with Barth syndrome from control heart failure patients with 100% sensitivity and...
2.7K
08:58In vivo Calcium Imaging in Mouse Inferior Olive
6.2K
We present a protocol to expose the brainstem of adult mouse from the ventral side. By using a gradient-refractive index lens with a miniature microscope, calcium imaging can be used to examine the activity of inferior olive neural somata in...
6.2K
07:51Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
8.0K
This article presents a protocol based on Hydra — a web-based system for clinical decision support that integrates a full and detailed set of functionalities and services required by physicians for complete cardiovascular analysis, risk assessment, early diagnosis, treatment, and monitoring over...
8.0K
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
367
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
367
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
740
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
740
10:44Generating Whole Bacterial Genomes from Clinical Samples using a Target Enrichment Workflow
1.1K
Here, we present a protocol to enable whole-genome sequencing of bacterial sexually transmitted infections from clinical samples using target enrichment. This novel, syndromic panel-based method overcomes challenges of abundant human DNA and low bacterial loads, facilitating genomic surveillance for Chlamydia trachomatis, Neisseria gonorrhoeae, Treponema pallidum, and Mycoplasma...
1.1K


