Drayer Syndrome due to Chromosome 15q26.3 Deletion: Response to Growth Hormone Treatment.

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Medical Bulletin of Sisli Etfal Hospital Pub Date : 2024-12-24 eCollection Date: 2024-01-01 DOI:10.14744/SEMB.2024.01879
Busra Tetik Dincer, Ebru Misirli Ozdemir, Umran Cetincelik, Ahmet Ucar
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Abstract

Chromosome 15q26 deletion is a rare condition that causes short stature and is associated with intrauterine growth restriction (IUGR), failure to thrive, congenital heart disease and many congenital malformations. The insulin growth factor receptor (IGF-1R) on chromosome 15 has many important roles, especially in growth regulation. Our case is an 18-month-old small for gestational age girl who presented with severe short stature, microcephaly and minor dysmorphic features. Chromosome microarray revealed 15q26 deletion including the IGF1R gene. Recombinant growth hormone (rGH) has been used in patients with IGF-1R defects with variable treatment responses. The reason for rGH unresponsiveness in some patients with terminal chromosome 15q deletion is still unclear. Herein we discuss the use of rGH in a patient with heterozygous IGF1R deletion and emphasize the need for further follow-up regarding other endocrine disorders.

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染色体15q26.3缺失引起的Drayer综合征:对生长激素治疗的反应。
染色体15q26缺失是一种罕见的疾病,会导致身材矮小,并与宫内生长受限(IUGR)、发育不良、先天性心脏病和许多先天性畸形有关。15号染色体上的胰岛素生长因子受体(IGF-1R)具有许多重要的作用,特别是在生长调节中。我们的病例是一个小于胎龄的18个月大的女孩,她表现出严重的身材矮小,小头畸形和轻微的畸形特征。染色体微阵列显示15q26缺失,包括IGF1R基因。重组生长激素(rGH)已被用于具有不同治疗反应的IGF-1R缺陷的患者。一些末端15q染色体缺失患者rGH无反应性的原因尚不清楚。在此,我们讨论了在IGF1R杂合子缺失患者中使用rGH,并强调需要进一步随访其他内分泌疾病。
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Medical Bulletin of Sisli Etfal Hospital
Medical Bulletin of Sisli Etfal Hospital MEDICINE, GENERAL & INTERNAL-
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