以生长发育迟缓为表现的Wolf-Hirschhorn综合征的临床特点及文献复习

doi:10.11852/zgetbjzz2018-26-05-21

中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (5): 540-543.DOI: 10.11852/zgetbjzz2018-26-05-21

以生长发育迟缓为表现的Wolf-Hirschhorn综合征的临床特点及文献复习

张金¹, 尚聪², 李朔³, 张立琴¹

1 青岛市妇女儿童医院儿童保健科,山东青岛 266034;
2 青岛市青岛大学附属医院小儿外科,山东青岛 266005;
3 青岛市妇女儿童医院遗传科,山东青岛 266034

收稿日期:2017-09-13 发布日期:2018-05-10 出版日期:2018-05-10
通讯作者: 张立琴, E-mail:qdzlq1968@163.com
作者简介:张金(1990-),女,山西人,住院医师,硕士学位,主要研究方向为儿童生长发育、营养及喂养、内分泌遗传代谢病。

Clinical features and literature review of Wolf-Hirschhorn syndrome with main manifestation of growth retardation

ZHANG Jin¹, SHANG Cong², LI Shuo³, ZHANG Li-qin¹

1 Children Healthcare Department, Qingdao Women and Children′s Hospital,Qingdao, Shandong 266034,China;
2 Pediatric Surgery Department, The Affiliated Hospital of Qingdao University, Qingdao , Shandong 266005,China;
3 Genetics Department, Qingdao Women and Children′s Hospital,Qingdao, Shandong 266034,China

Received:2017-09-13 Online:2018-05-10 Published:2018-05-10
Contact: ZHANG Li-qin, E-mail: qdzlq1968@163.com

摘要/Abstract

摘要： 目的通过对以生长发育迟缓为主要表现的Wolf-Hirschhorn综合征(WHS)进行文献复习及病例分析,研究其现状及进展,以期为临床诊断及治疗提供依据。方法以儿保科门诊确诊的1例以生长发育迟缓为表现的WHS患儿为例,从遗传方式、临床表型与基因型的关系、诊断技术等方面对WHS进行探讨。结果 WHS的发生与多个基因相关, 单个基因的突变无法准确地解释病因,其临床表型复杂,体格及智力发育落后是常见的临床表现之一。染色体微阵列分析(CMA)技术是目前诊断此病的首选检测方法。结论临床医生需通过详细询问病史及体格检查发现疾病临床特点,运用恰当的细胞遗传学检测技术,对WHS的发病机制及遗传特点进行深入研究,为临床治疗及预后提供依据。

关键词: Wolf-Hirschhorn综合征, 临床表现, 遗传特点, 基因诊断, 预后

Abstract: Objective To make literature review and case analysis on the current status and progress of Wolf-Hirschhorn syndrome(WHS), in order to provide the basis for clinical diagnosis and treatment. Methods A case of a child diagnosed with WHS in Children Healthcare outpatientand with main manifestation of growth retardation was used. The WHS was discussed in terms of genetic patterns, clinical phenotype and genotype, diagnostic techniques and so on. Results The occurrence of WHS was associated with multiple genes. The loss of a single gene can not accurately explain the cause of the disease. Its clinical phenotype was complex, physical and mental retardation was one of the common clinical manifestations. Chromosomal microarray analysis (CMA) technique was the first choice for the diagnosis of this disease. Conclusion Clinicians need to find out the clinical features of disease through detailed disease history and physical examination, and to use cytogenetic detection technology appropriately to study the pathogenesis and genetic characteristics of WHS in order to provide basis for clinical treatment and prognosis.

Key words: Wolf-Hirschhorn syndrome, clinical manifestations, genetic characteristics, gene diagnosis, prognosis

中图分类号:

R179

张金, 尚聪, 李朔, 张立琴. 以生长发育迟缓为表现的Wolf-Hirschhorn综合征的临床特点及文献复习[J]. 中国儿童保健杂志, 2018, 26(5): 540-543.

ZHANG Jin, SHANG Cong, LI Shuo, ZHANG Li-qin. Clinical features and literature review of Wolf-Hirschhorn syndrome with main manifestation of growth retardation[J]. journal1, 2018, 26(5): 540-543.

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以生长发育迟缓为表现的Wolf-Hirschhorn综合征的临床特点及文献复习

Clinical features and literature review of Wolf-Hirschhorn syndrome with main manifestation of growth retardation

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