携带异构性PYGM变种的持久脚行走的儿童的临床特征:一个横截面研究
David Pomarino1, Bastian Fregien2, Kevin M Rostásy3
1Pomarino. Praxis für Ganganomalien, Hamburg, Germany.
Journal of musculoskeletal & neuronal interactions
|March 1, 2026
概括
异构性PYGM变体可能与儿童的微妙神经肌肉问题有关,这些儿童的脚持续行走 (TW). 在怀疑TW时,基因检测可能有助于识别潜在的疾病.
科学领域:
- 神经肌肉疾病 神经肌肉疾病
- 儿科神经学 儿科神经学
- 临床遗传学 临床遗传学
背景情况:
- 儿童持续的脚行走 (TW) 可能表明潜在的神经肌肉或代谢状况.
- 研究像PYGM变体这样的遗传因素对于理解特异性TW至关重要.
- PYGM变异的异构体载体可能表现出亚临床表型.
研究的目的:
- 调查持久脚行走携带PYGM变异的儿童的临床和遗传特征.
- 探索异构卵性PYGM变体载体中潜在的亚临床神经肌肉表型.
主要方法:
- 在72名患有特异性TW儿童的横截面,回顾性研究.
- 使用标准化临床协议和49基因下一代测序神经肌肉面板.
- 根据ACMG/AMP指南分类的变种.
主要成果:
- 在1300名查患者中发现了72名PYGM变异携带者.
- 所有携带者都表现出双边脚行走;80.5%的携带者有严重的背部屈曲限制.
- 腔体 (93%),肌肉症状 (大约 1/3),言语困难 (56.9%) 是很常见的.
- 12.5%的人可以进行脚跟行走;VUS携带者比P/LP携带者表现出较轻微的肌肉症状.
结论:
- 异卵性PYGM变体可能会导致儿童的微妙神经肌肉表型,导致脚持续走路.
- 在持久性TW病例中,可考虑对PYGM变异进行基因检测,并怀疑潜在的神经肌肉/代谢条件.
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