A cost-efficient algorithm for diagnosing children with dysmorphic features

IF 1.2 Q4 GENETICS & HEREDITY Egyptian Journal of Medical Human Genetics Pub Date : 2024-07-03 DOI:10.1186/s43042-024-00545-y
Mariya Levkova, Milena Stoyanova, Mari Hachmeriyan, Lyudmila Angelova
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Abstract

It is crucial to create a cost-effective work protocol that will guide everyone involved in diagnosing children with dysmorphic features step-by-step and ensure that testing costs are reduced without compromising care quality in light of the rising prevalence of rare diseases and congenital malformations. Based on our own experience, we offer an effective approach for identifying children with dysmorphic traits. Following a thorough medical history and physical examination utilizing the dysmorphology checklist we created, the patient should have their photographs taken. The second step involves using face recognition software and searching dysmorphology databases for a matching diagnosis. The final two steps of the suggested protocol are ordering the molecular-genetic analysis and providing genetic counseling. The suggested approach could help in everyday practice and reduce unnecessary testing. It takes significant clinical expertise and knowledge to correctly diagnose a syndrome, especially the capacity to recognize the particular dysmorphic symptoms that can be typical for a given genetic disorder. The suggested dysmorphology checklist could be extremely helpful for routine daily practice.
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诊断儿童畸形特征的成本效益算法
鉴于罕见病和先天性畸形的发病率不断上升,制定一个具有成本效益的工作方案至关重要,它将一步步指导参与诊断畸形儿童的每个人,并确保在降低检测成本的同时不影响医疗质量。根据我们自身的经验,我们提供了一种识别畸形特征儿童的有效方法。在使用我们创建的畸形检查表进行全面的病史和体格检查后,应为患者拍照。第二步是使用人脸识别软件,在畸形数据库中搜索匹配的诊断结果。建议方案的最后两个步骤是进行分子遗传分析和提供遗传咨询。建议的方法有助于日常实践,减少不必要的检测。正确诊断综合征需要大量的临床专业知识和知识,尤其是识别特定遗传疾病典型的畸形症状的能力。建议的畸形核对表对日常工作非常有帮助。
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来源期刊
Egyptian Journal of Medical Human Genetics
Egyptian Journal of Medical Human Genetics Medicine-Genetics (clinical)
CiteScore
2.20
自引率
7.70%
发文量
150
审稿时长
18 weeks
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