科妮莉亚-德-朗格综合征伴左心发育不良:病例研究

IF 0.1 Q4 EMERGENCY MEDICINE Journal of Emergency Medicine Case Reports Pub Date : 2024-02-15 DOI:10.33706/jemcr.1395190
Elif Sena Ozcan, Sevim Yener, Gulam Hekimoğlu, Nurullah Yücel, Z. İlçe
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摘要

科尼莉亚-德-朗格综合征(CdLS)的特点是生长缓慢,可导致身材矮小。尽管 NIPBL、RAD21 或 SMC3 基因发生了突变,但 CdLS 仍被认为是常染色体显性遗传。其症状包括智力障碍、上肢骨骼异常和明显的面部特征。它与自闭症谱系障碍的特征相似,后者是一种影响沟通和社会交往的发育性疾病。本研究报告了一名被诊断为 CdLS 的一岁半女童的身体和临床发现。除 NIPBL 基因突变外,该病例还发现房室间隔缺损(AVSD)、主动脉过长和左心发育不良(HLH)。这项研究显示,患者的体格和临床表现与 CdLS 诊断一致。此外还强调了 HLH。在对 CdLS 患者的先天性心脏病进行评估后,立即进行矫正手术的重要性不言而喻。
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Cornelia De Lange Syndrome with left heart hypoplasia: a case study
Cornelia de Lange syndrome (CdLS) is characterized by slow growth that can lead to short stature. Despite mutations in the NIPBL, RAD21 or SMC3 genes, CdLS is thought to be inherited in an autosomal dominant manner. Findings include intellectual disability and bone abnormalities in the upper extremities and distinct facial features. It has similar characteristics to autism spectrum disorder, which is a developmental condition that affects communication and social interaction. The physical and clinical findings of a one-and-a-half-year-old girl patient diagnosed with CdLS were reported. In addition to NIPBL gene mutation, atrioventricular septal defect (AVSD), an overriding aorta, and a hypoplastic left heart (HLH) were observed in our case. This study revealed the patient's physical and clinical findings consistent with the diagnosis of CdLS. Additionally emphasized HLH. The importance of performing corrective surgery immediately following the evaluation of congenital heart diseases in CdLS patients can be emphasized.
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