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Nager Syndrome: Report of Clinical and Radiological Findings in an EgyptianInfant 奈格综合征:一名埃及婴儿的临床和放射学表现报告
Pub Date : 2016-03-25 DOI: 10.4172/2157-7412.1000i103
E. Abdalla
Nager syndrome is an extremely rare genetic condition, that this case is the first reported from Egypt. The affected infant manifested a severe phenotype with growth retardation and congenital heart defect. Limb anomalies are a cardinal sign and, in combination with the characteristic craniofacial features, are diagnostic.
纳格尔综合征是一种极其罕见的遗传病,这是埃及首次报道的病例。受影响的婴儿表现出严重的表型与生长迟缓和先天性心脏缺陷。肢体异常是一个主要标志,结合颅面特征,是诊断性的。
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引用次数: 0
Indicator Exploration for Cancers in Women with Neurofibromatosis Type 1 - A Multi-Centre Retrospective Study 1型神经纤维瘤病女性癌症指标探索-一项多中心回顾性研究
Pub Date : 2016-03-24 DOI: 10.4172/2157-7412.1000292
Xia Wang, R. Tousignant, A. Levin, B. Niell, J. Blakeley, M. Acosta, B. Korf
Objective: Neurofibromatosis type 1 (NF1) is a complex hereditary syndrome with multi-systemic involvement and propensity to develop a variety of tumors. Despite the increased risk for malignant neoplasms and shortened life-span, there is no targeted cancer surveillance strategy. Clinical features of NF1 and family history may be associated with occurrence of certain neoplasms and serve as indicators for targeted surveillance. Methods: This multi-centre retrospective study reviewed the records of 423 women with NF1. The associations between neoplasms, clinical features and family history were analyzed. Results: The occurrence of breast cancers is positively associated (p = 0.004) with family history of any cancers, 9.6% (12/125) with family history vs. 2.7% (8/298) without. An association between NF1 clinical phenotypes (i.e. dermal neurofibroma burden) and cancer was not observed. However, the rate of malignant peripheral sheath tumor (MPNST) was significantly higher (p = 0.049) in women with plexiform neurofibroma (PN) than women without, 7.9% (11/139) vs. 3.14% (7/223). Women with learning disabilities have a higher rate (p = 0.019) of central nervous system (CNS) tumors including optic glioma (OPG) than women without, 22.2% (20/90) vs.11.2% (21/187). European Americans (EAs) are significantly more likely (p = 0.002) to develop CNS tumors (21.2%, 41/193) than African Americans (AAs) (6.8%, 6/88). Conclusion: Family history of any cancers, preexisting PN, learning disability and EA ancestry is linked to higher risk of breast cancer, MPNST, and CNS tumors/OPG, respectively.
目的:1型神经纤维瘤病(NF1)是一种复杂的遗传性综合征,具有多系统受累和发展多种肿瘤的倾向。尽管恶性肿瘤的风险增加,寿命缩短,但没有针对性的癌症监测策略。NF1的临床特征和家族史可能与某些肿瘤的发生有关,可作为有针对性的监测指标。方法:本多中心回顾性研究回顾了423例女性NF1的记录。分析肿瘤、临床特征和家族史之间的关系。结果:乳腺癌的发生与任何癌症家族史呈正相关(p = 0.004),有家族史的为9.6%(12/125),无家族史的为2.7%(8/298)。NF1临床表型(即真皮神经纤维瘤负担)与癌症之间的关联未被观察到。然而,丛状神经纤维瘤(PN)女性的恶性外周鞘瘤(MPNST)发生率显著高于未患鞘瘤的女性(p = 0.049),分别为7.9%(11/139)和3.14%(7/223)。有学习障碍的女性患包括视神经胶质瘤(OPG)在内的中枢神经系统(CNS)肿瘤的比例(p = 0.019)高于无学习障碍的女性,分别为22.2%(20/90)和11.2%(21/187)。欧洲裔美国人(EAs)发生中枢神经系统肿瘤的可能性(21.2%,41/193)明显高于非洲裔美国人(AAs) (6.8%, 6/88) (p = 0.002)。结论:任何癌症的家族史、先前存在的PN、学习障碍和EA血统分别与乳腺癌、MPNST和中枢神经系统肿瘤/OPG的高风险相关。
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引用次数: 3
Quadricuspid Aortic Valve, Single Coronary Artery, Solitary Kidney and Oblique Facial Cleft. A Unique Constellation of Congenital Abnormalities: Case Report and Review of the Literature 四尖瓣主动脉瓣,单冠状动脉,孤立肾和斜面裂。先天性畸形的独特星座:病例报告和文献回顾
Pub Date : 2016-03-17 DOI: 10.4172/2157-7412.1000291
Rabah Al-Mehisen, Ramy El Essely, M. Al-Mallah, M. Al-Mohaissen, T. Kashour
Quadricuspid aortic valve (QAV) is a rare congenital anomaly which is associated with coronary artery anomalies in 10% of the patients. The association of QAV with single coronary artery (SCA) is very rare has been reported only in one case previously. We report the case of a 30-year-old male patient with a unique constellation of congenital anomalies including QAV, SCA, solitary kidney and Tessier type 3 oblique facial cleft with cleft palate. To our knowledge, this unique combination has never been described previously. We describe his case and review the topic of QAV and its reported cardiac and systemic associations.
四尖瓣主动脉瓣(QAV)是一种罕见的先天性异常,在10%的患者中与冠状动脉异常有关。QAV与单冠状动脉(SCA)的关联非常罕见,此前仅报道一例。我们报告一例30岁的男性患者,先天性异常包括QAV, SCA,孤立肾和Tessier型3斜面裂合并腭裂。据我们所知,这种独特的组合以前从未被描述过。我们描述了他的病例,并回顾了QAV的主题及其报道的心脏和全身关联。
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引用次数: 4
Can the p.Thr1174Ser Mutation in SCN1A Gene Shape Genetic Background inEpileptic Encephalopathies SCN1A基因p.s thr1174ser突变能否塑造癫痫性脑病的遗传背景
Pub Date : 2016-03-10 DOI: 10.4172/2157-7412.1000290
Dorota Hoffman Zacharskaa, I. Terczyńska, Paulina Górka-Skoczylasa, Anna Wiktor, T. Mazurczak, Jolanta Góral, A. Charzewska, K. Duszyc, E. Szczepanik
Dravet Syndrome (DS) and Genetic Epilepsy with Febrile Seizures plus (GEFS+) are very often caused by mutations in the SCNA1A gene. These mutations also have been identified in families with migraine phenotypes, supporting the link between migraine and epilepsy. The SCN1A substitution p.Trp1174Ser has been reported as a cause of familial migraine and familial mixed phenotypes with seizures / hemiplegic migraine. We present this mutation as a causative factor of familial GEFS+ syndrome, but also as a factor potentially changing the phenotypes of the epileptic encephalopathies caused by mutations in the SCN1A, ARX or PCDH19 genes. Substitution p.Trp1174Ser was identified in five probands clinically diagnosed as spectrum of GEFS+ or DS. As it has not been regarded as significant for the epileptic encephalopathy, they underwent additional testing according to the revised phenotypes. Probands were finally diagnosed with GEFS+ (p.Trp1174Ser SCN1A mutation only) and epileptic encephalopathies: DS (p.Arg712* and p.Arg1245* in SCN1A), Epilepsy and Mental Retardation Limited to Females (p.Asp155Tyr in PCDH19) and atypical West Syndrome (del79nt IVS4/Ex5 in ARX). This study indicates a complex involvement of some SCN1A mutations in epilepsies / epileptic encephalopathies also as a modifying factor with the SCN1A, PCDH19, ARX and possibly mutations in other genes. In cases with atypical or "plus" course or more severe course the possible involvement of other genetic factors should always be considered. Additional modifiers identification may influence on clinical prognosis, patient management and genetic counselling.
Dravet综合征(DS)和遗传性癫痫伴热性癫痫发作(GEFS+)通常是由SCNA1A基因突变引起的。这些突变也在偏头痛表型的家族中被发现,支持偏头痛和癫痫之间的联系。据报道,SCN1A取代p.Trp1174Ser是家族性偏头痛和家族性癫痫/偏瘫偏头痛混合表型的原因。我们认为这种突变是家族性GEFS+综合征的致病因素,但也可能改变由SCN1A、ARX或PCDH19基因突变引起的癫痫性脑病的表型。在临床诊断为GEFS+或DS的5个先证者中鉴定出p.Trp1174Ser取代物。由于对癫痫性脑病没有显著意义,他们根据修改后的表型进行了额外的测试。先证最终被诊断为GEFS+(仅p.Trp1174Ser SCN1A突变)和癫痫性脑病:DS(在SCN1A中p.Arg712*和p.Arg1245*),女性癫痫和智力低下(在PCDH19中p.Asp155Tyr)和非典型西部综合征(在ARX中del79nt IVS4/Ex5)。本研究表明,一些SCN1A突变在癫痫/癫痫性脑病中具有复杂的参与作用,也可能是SCN1A、PCDH19、ARX和其他基因突变的修饰因子。在非典型或“加重”病程或更严重病程的病例中,应始终考虑其他遗传因素的可能参与。其他修饰因子的鉴定可能会影响临床预后、患者管理和遗传咨询。
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引用次数: 0
4q- Deletion Syndrome: Psychiatric Symptoms in a Rare Chromosomal Disorder 缺失综合征:罕见染色体疾病的精神症状
Pub Date : 2016-02-24 DOI: 10.4172/2157-7412.1000288
M. E. Pereira, Ricardo Caetano Silva, A. Velosa, B. Barahona-Corrêa
We present the case of an 18-year-old man with the karyotype 46, XY, del (4) (q21.1q21.3), and describe in detail the clinical findings, with emphasis on the psychiatric symptoms and their management. 4q- syndrome comprises all deletions of the long arm of chromosome 4. It consists of facial and digital dysmorphisms, skeletal and cardiac defects, growth retardation and learning difficulties. Our report contributes to the understanding of the natural history and management of this rare chromosomal disorder.
我们提出了一个18岁的男性核型46,XY, del (4) (q21.1q21.3)的病例,并详细描述了临床表现,重点是精神症状及其管理。4q-综合征包括4号染色体长臂的所有缺失。它包括面部和数字畸形,骨骼和心脏缺陷,生长迟缓和学习困难。我们的报告有助于了解这种罕见的染色体疾病的自然历史和管理。
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引用次数: 0
Use of Volumetric Capnography in Submaximal Exercise Test: What Did We Learn? 在亚极限运动测试中使用容积摄氧量:我们学到了什么?
Pub Date : 2016-02-24 DOI: 10.4172/2157-7412.1000289
P. Parazzi, Fern, O. Marson, M. A. Ribeiro, C. Schivinski, J. Ribeiro
Tools that assess the response of the body to exercise activities have been sought in numerous clinical situations. Chronic obstructive pulmonary diseases such as cystic fibrosis (CF) may lead to reduction or limitation in exercise performance by ventilator factors. Consequently, a reduction in lung function can be observed, characterized by decreased respiratory reserve and dynamic hyperinflation during exercise. Various instruments have been developed and studied in thepediatricpopulation in order to evaluate the functional capacity during exercise, being grouped into maximal tests and submaximal tests. The difference between maximal and submaximal tests depends on whether the test is performed in an open area or laboratory, with ergometers or not. In the maximal test, the individual performs the activity to achieve voluntary exhaustion, leading the participant to the fullest of their oxygen uptake and/or estimated (more than 90%) heart rate (HR). In the submaximal tests, the HR is located around 75% to 90% of the maximum estimated HR. In the study, we used a reproducible exercise test protocol in accordance with the pediatric age group. We used the VCap, as an evaluation feature for lung function in children and adolescents with CF and with various degrees of severity of lung disease. We have identified the inhomogeneity of distribution of ventilation in the peripheral airways of patients with normal spirometry. Our findings collaborate with the idea that the VCap is a respiratory assessment tool that is practical, inexpensive and easy to use. The VCap provides information on the pulmonary involvement by the indices and is considered an assessment tool of the degree of regional heterogeneity of the lung for gas exchange. Thus, the VCap is a tool that can be used for analysis of ventilatory efficiency during exercise, providing evidence that the cardiorespiratory response that can be measured non-invasively during exercise testing.
评估身体对运动活动反应的工具已经在许多临床情况下被寻求。慢性阻塞性肺疾病,如囊性纤维化(CF)可能会导致呼吸机因素导致运动表现的减少或限制。因此,可以观察到肺功能的降低,其特征是运动期间呼吸储备减少和动态恶性膨胀。为了评估儿童运动时的功能能力,已经开发和研究了各种各样的仪器,分为最大测试和次最大测试。最大和次最大测试的区别取决于测试是否在开放区域或实验室进行,是否有测力计。在最大测试中,个体进行活动以达到自愿疲劳,使参与者的摄氧量和/或估计(超过90%)心率(HR)达到最大。在次最大值测试中,HR位于最大估计HR的75%到90%左右。在这项研究中,我们根据儿童年龄组使用了可重复的运动测试方案。我们使用VCap作为CF儿童和青少年以及不同程度肺部疾病严重程度肺功能的评估特征。我们已经确定了正常肺活量患者外周气道通气分布的不均匀性。我们的发现与VCap是一种实用、廉价且易于使用的呼吸评估工具的想法相吻合。VCap通过指数提供肺受累的信息,被认为是肺气体交换区域异质性程度的评估工具。因此,VCap是一种可以用于分析运动时通气效率的工具,为运动测试中可以无创测量的心肺反应提供了证据。
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引用次数: 2
An Adult Patient with Monosomy 18p, Growth Hormone Deficiency and Selective IgA Deficiency 成人18p单体、生长激素缺乏和选择性IgA缺乏1例
Pub Date : 2016-02-22 DOI: 10.4172/2157-7412.1000287
Pınar Zengin AkkuÅ, A. Cetinkaya, Deniz ÇaÄdaÅ Ayvaz, Mehmet AlikaÅifoÄlu, Ayfer AlikaÅifoÄlu, K. Nurgün, Emir, Ä°lhan Tezcan, G. Utine, Koray BoduroÄlu
Monosomy 18p is a relatively frequent deletion syndrome with an estimated frequency of one in 50,000 liveborns. Most frequent findings consist of mild to moderate growth deficiency, intellectual disability, microcephaly, and facial dysmorphic features including ptosis, epicanthic folds, low nasal bridge, hypertelorism and large protruding ears. Anomalies of other systems may accompany. A 31-year-old male patient with dysmorphic facial features, congenital hypothyroidism, growth hormone deficiency and intellectual disability was diagnosed with monosomy 18p. The patient who also suffered from recurrent aphthous stomatitis and otitis during childhood and selective IgA deficiency was also diagnosed. Monosomy 18p in this patient was further analyzed with SNP microarrays. The 18p deletion caused monosomy of a segment larger than 18 Mb, which consisted many OMIM genes. Deleted genes in this region are known to have a diverse array of functions in various cellular processes. Estimating the possible pathogenic roles of these gene deletions over cellular functions may be difficult for today, however, precise delineation of molecular findings would lead to a better understanding of disease pathogenesis in future.
单体18p是一种相对常见的缺失综合征,估计每5万例活产儿中就有一例。最常见的表现包括轻度至中度生长缺陷、智力障碍、小头畸形和面部畸形特征,包括上睑下垂、内眦褶皱、低鼻梁、远视和大耳朵突出。其他系统的异常可能伴随。一例31岁男性患者,患有面部畸形、先天性甲状腺功能减退、生长激素缺乏和智力残疾。患者儿童期复发性口疮性口炎、中耳炎及选择性IgA缺乏症。用SNP微阵列进一步分析该患者的18p单体。18p缺失导致一个大于18mb的片段出现单体,该片段由多个OMIM基因组成。已知该区域的缺失基因在各种细胞过程中具有多种功能。估计这些基因缺失对细胞功能的可能致病作用在今天可能是困难的,然而,精确描述分子发现将导致未来更好地了解疾病的发病机制。
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引用次数: 1
Bilateral Fibular Dimelia with Mirror Foot: An Additional Case Report 双侧腓骨瓣裂伴镜足1例
Pub Date : 2016-02-12 DOI: 10.4172/2157-7412.1000I102
E. Abdalla, Israa Alaa-Eddin
Volume 7 • Issue 2 • 1000i102 J Genet Syndr Gene Ther ISSN: 2157-7412 JGSGT, an open access journal A two-month-old male infant presented with peculiar bilateral lower limb malformations. He was born at term to unrelated healthy Egyptian parents after an uncomplicated pregnancy and delivery. There was no history of drug use, alcohol intake or exposure to teratogenic agents in pregnancy and the family history was also unremarkable.
J Genet Syndr Gene Ther ISSN: 2157-7412 JGSGT,一个开放获取期刊一个两个月大的男婴出现了特殊的双侧下肢畸形。经过简单的怀孕和分娩,他出生在一对没有血缘关系的健康埃及父母的足月里。没有药物使用史、酒精摄入史或妊娠期接触致畸剂史,家族史也无显著差异。
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引用次数: 1
Report: Fourth International Workshop for Glycosylation Defects inMuscular Dystrophies 报告:第四届肌营养不良症糖基化缺陷国际研讨会
Pub Date : 2016-02-12 DOI: 10.4172/2157-7412.1000286
A. Blaeser, A. Harper, K. Campbell, Q. Lu
The Fourth International Workshop for Glycosylation Defects in Muscular Dystrophies took place on April 16- 17, 2015 at the Fairfield Inn and Suites Charlotte Uptown, Charlotte, North Carolina. The workshop was hosted by the McColl-Lockwood Laboratory for Muscular Dystrophy Research, and sponsored by the Carolinas HealthCare Foundation, the Muscular Dystrophy Association (MDA), funds raised by “Riding 4 Research” and generous support from the McColl and Lockwood families. Clinicians and scientists from the US, UK, Germany and Japan presented a total of 21 talks spread out over 2 days. The workshop was divided into three sessions: Session A focused on the current status of the development of animal models for diseases caused by defects in muscle-protein glycosylation, on our current understanding of such glycosylation and on the mechanisms that lead to disease. Session B focused on preclinical therapeutics, in particular on AAV- and drug-based therapies. Session C covered the clinical management of muscular dystrophies and endpoint evaluation.
第四届肌肉萎缩症糖基化缺陷国际研讨会于2015年4月16日至17日在北卡罗来纳州夏洛特市夏洛特上城区的费尔菲尔德酒店和套房举行。研讨会由McColl-Lockwood肌肉萎缩症研究实验室主办,由卡罗来纳医疗保健基金会、肌肉萎缩症协会(MDA)赞助,资金由“骑行4研究”筹集,并得到McColl和Lockwood家人的慷慨支持。来自美国、英国、德国和日本的临床医生和科学家在两天内共进行了21场演讲。研讨会分为三个部分:A部分侧重于肌肉蛋白糖基化缺陷引起的疾病的动物模型的发展现状,我们目前对这种糖基化的理解以及导致疾病的机制。会议B侧重于临床前治疗,特别是AAV和基于药物的治疗。会议C涵盖了肌肉萎缩症的临床管理和终点评估。
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引用次数: 1
Association of Superoxide Dismutase 2 Polymorphism Rs4880 and Open-Angle Glaucoma in a Greek Patients Cohort 在希腊患者队列中超氧化物歧化酶2多态性Rs4880与开角型青光眼的关联
Pub Date : 2016-02-08 DOI: 10.4172/2157-7412.1000285
A. Lavaris, M. Gazouli, G. Kitsos, D. Brouzas, M. Moschos
Purpose: Glaucoma is a multifactorial optic neuropathy and leading cause of visual impairment and blindness. Multigenic inheritance hypothesis is being investigated over the past decades and numerous mainly causative and synergic polymorphisms have been revealed. Aim of this study is to investigate whether superoxide dismutase 2 (SOD2) polymorphism rs4880 is associated with primary open angle glaucoma (POAG) in Greek population. Materials and method: This is a case control study of 106 POAG patients and 120 thoroughly examined, unrelated, healthy control subjects of Greek origin, surveyed for SOD2 polymorphism rs4880 and potential correlation to POAG. Results: SOD2 rs4880 polymorphism showed no statistically significant difference between POAG patients and healthy controls. Mean intraocular pressure (IOP) of both eyes of the heterozygous (T/C) group was found significantly higher than in homozygous (T/T) group (19.13 ± 0.60 vs. 17.59 ± 0.33, p = 0.02). When we compared the IOP in each eye separately, the (T/C) and (C/C) carriers had significantly higher IOP on their left eye compared to the (T/T) carriers [(Τ/C) 18.79 ± 0.56 vs. (Τ/Τ) 17.2 ± 0.36, p = 0.02 and (C/C) 20.75 ± 2.14 vs. (Τ/Τ) 17.2 ± 0.36, p = 0.03). Conclusion: Our study did not find any significant association between SOD2 rs4880 polymorphism and POAG. Mean IOP of the polymorphic (C) allele carriers was found significantly higher than in homozygous (T/T) group. As we cannot reject the possibility that oxidative stress might be a crucial factor for the POAG development further studies may be needed to confirm the importance of SOD2 gene in POAG pathogenesis.
目的:青光眼是一种多因素的视神经病变,是导致视力损害和失明的主要原因。在过去的几十年里,人们对多基因遗传假说进行了研究,发现了许多主要的致病多态性和协同多态性。本研究旨在探讨希腊人群中超氧化物歧化酶2 (SOD2)多态性rs4880是否与原发性开角型青光眼(POAG)相关。材料和方法:本研究对106例POAG患者和120例经彻底检查的希腊裔健康对照者进行病例对照研究,调查SOD2多态性rs4880及其与POAG的潜在相关性。结果:SOD2 rs4880多态性在POAG患者与健康对照组之间无统计学差异。杂合子(T/C)组双眼平均眼压(IOP)显著高于纯合子(T/T)组(19.13±0.60 vs. 17.59±0.33,p = 0.02)。当我们分别比较每只眼的IOP时,(T/C)和(C/C)携带者的左眼IOP明显高于(T/T)携带者[(Τ/C) 18.79±0.56 vs. (Τ/Τ) 17.2±0.36,p = 0.02]和(C/C) 20.75±2.14 vs. (Τ/Τ) 17.2±0.36,p = 0.03]。结论:本研究未发现SOD2 rs4880多态性与POAG存在显著相关性。多态(C)等位基因携带者的平均IOP显著高于纯合(T/T)组。由于我们不能否认氧化应激可能是POAG发生的关键因素,因此需要进一步的研究来证实SOD2基因在POAG发病机制中的重要性。
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引用次数: 1
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Journal of genetic syndromes & gene therapy
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