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PPP1R12A突变带有先天性关节形和矮身:儿科内分泌学病例报告
Rosita Saul1, Maya David2, Jordin Frasch2
1Department of Osteopathic Medical Education, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, Florida, USA, nova.edu.
Case reports in pediatrics
|February 2, 2026
概括
一个新的PPP1R12A基因突变导致了11岁男孩的孤立生长激素缺乏和状缩. 这个案例扩大了PPP1R12A相关疾病的已知症状,强调了对矮身的早期内分泌评估.
科学领域:
- 遗传学和分子生物学
- 儿科内分泌学 儿科内分泌学
- 发展生物学 发展生物学
背景情况:
- PPP1R12A基因突变与泌尿器官和脑形综合征 (UBMS) 有关.
- 儿童的矮身需要进行彻底的遗传和内分泌评估.
- 先天性阴茎缩症可以呈现复杂的病史.
研究的目的:
- 报告一个新的病例,扩大PPP1R12A突变的表型谱.
- 要突出与PPP1R12A变异的患者中孤立的生长激素缺乏和阴性缩.
- 强调多学科护理和早期内分泌转诊在儿科矮身病例中的重要性.
主要方法:
- 为了进行基因分析,进行了全外三组测序.
- 进行了全面的内分泌评估,包括对生长激素缺乏症的评估.
- 审查了包括病史,手术干预和发育里程碑在内的临床数据.
主要成果:
- 在PPP1R12A基因 (c.38A>G,p.(Gln13Arg)) 中发现了一种新异构的可能致病突变.
- 该患者出现了孤立的生长激素缺乏症,外阴后垂体腺,中断的垂体茎,以及先天性阴茎缩.
- 显著缺少的是生殖尿路异常和神经发育缺陷,扩大已知的表型.
结论:
- 这一案例表明,PPP1R12A突变可以导致孤立的生长激素缺乏和没有典型的UBMS特征的头骨缩.
- 早期内分泌评估对于患有PPP1R12A变体的儿童来说至关重要,这些变体呈现出矮身.
- 多学科管理对于优化复杂遗传病患者的治疗结果至关重要.
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