دورية أكاديمية
An infant with congenital micrognathia and upper airway obstruction was diagnosed as Hutchinson-Gilford progeria syndrome caused by a novel LMNA mutation: Case report and literature review
العنوان: | An infant with congenital micrognathia and upper airway obstruction was diagnosed as Hutchinson-Gilford progeria syndrome caused by a novel LMNA mutation: Case report and literature review |
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المؤلفون: | Duojiao Xu, Yujiao Guo, Zhan Qi, Chanjuan Hao, Guoxia Yu |
المصدر: | Heliyon, Vol 9, Iss 10, Pp e20857- (2023) |
بيانات النشر: | Elsevier, 2023. |
سنة النشر: | 2023 |
المجموعة: | LCC:Science (General) LCC:Social sciences (General) |
مصطلحات موضوعية: | Hutchinson-Gilford progeria syndrome, LMNA mutation, Congenital micrognathia, Dyspnea, Mandibular distraction osteogenesis, Science (General), Q1-390, Social sciences (General), H1-99 |
الوصف: | Hutchinson-Gilford progeria syndrome (HGPS) is an extremely rare disease characterized by appearance of premature aging, including the skin, bones, heart, and blood vessels caused by LMNA mutation. In this study, the patient presented with congenital micrognathia and progressively aggravated upper airway obstruction as the initial symptom, which required bilateral mandibular distraction osteogenesis (MDO) surgery intervention. This was not commonly described in the literature, and the primary clinical diagnosis of Pierre Robin sequence (PRS) was made. However, other clinical features included sclerotic skin, dry skin, growth failure, lipoatrophy, joint stiffness, prominent scalp veins, small ear lobes, hair loss, and craniofacial disproportion gradually emerged, the diagnosis of HGPS was preferred when the patient was 5 months old. The genetic testing result with a novel and de novo LMNA mutation (c.1968 + 3_1968+6delGAGT) further confirmed the diagnosis and expanded the clinical and mutational spectrum of HGPS. During the 12-month follow-up period after surgery, the patient no longer suffered dyspnea. Complications of other organs and systems have not happened at the moment. In addition, the pathogenesis, the role of LMNA gene mutation, the progress in clinical treatment, and breakthrough studies about genetic treatment in animals of HGPS are described in the literature review. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2405-8440 |
العلاقة: | http://www.sciencedirect.com/science/article/pii/S2405844023080659Test; https://doaj.org/toc/2405-8440Test |
DOI: | 10.1016/j.heliyon.2023.e20857 |
الوصول الحر: | https://doaj.org/article/82655a2649b74a139cbb86ef0de3e4cbTest |
رقم الانضمام: | edsdoj.82655a2649b74a139cbb86ef0de3e4cb |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 24058440 |
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DOI: | 10.1016/j.heliyon.2023.e20857 |