临床儿科杂志 ›› 2019, Vol. 37 ›› Issue (12): 909-.doi: 10.3969/j.issn.1000-3606.2019.12.008

• 遗传、代谢、内分泌疾病专栏 • 上一篇    下一篇

Mowat-Wilson 综合征1 例报告

张立毅 1, 张光运 2, 曹开方 3, 曹玉红 2   

  1. 1.北京大学医学部(北京 100191); 2.空军军医大学西京医院(陕西西安 710032);3. 空军军医大学 口腔医院 (陕西西安 710032)
  • 发布日期:2020-02-03
  • 通讯作者: 张光运,曹玉红 电子信箱:zhgyun@fmmu.edu.cn,caoyh70@126.com

Mowat-Wilson syndrome: a case report

 ZHANG Liyi1, ZHANG Guangyun2, CAO Kaifang3, CAO Yuhong2   

  1. 1. Peking University Health Science Center, Beijing 100191, China; 2. Xijing Hospital, Air Force Military Medical University, Xi’an 710032, Shaanxi, China; 3. Stomatology Hospital, Air Force Military Medical University, Xi’an 710032, Shaanxi, China
  • Published:2020-02-03

摘要:  目的 探讨Mowat-Wilson综合征的临床特点。方法 回顾分析1例Mowat-Wilson综合征患儿的临床资料 及分子遗传学检测结果,并复习相关文献。结果 患儿,女, 3岁10个月,因智力运动发育迟缓及抽搐就诊;患儿面容特 殊,前额突出、眼距宽、内眦赘皮、眉毛宽、鼻梁低、鼻小柱突出、下颌呈三角形、耳垂突出。心血管超声示二叶主动脉瓣; 头部磁共振成像示双侧脑室轻度扩大;脑电图示额部、前颞导痫性放电。基因组测序及生物信息学分析显示患儿ZEB2基 因3号外显子存在一处杂合突变c.164delC,导致氨基酸改变p.Pro55fs,确诊为Mowat-Wilson综合征。结论 扩充了中国 Mowat-Wilson综合征患者ZEB2基因突变谱。

关键词:  Mowat-Wilson综合征; ZEB2基因; 变异

Abstract:  Objective To explore the clinical characteristics of Mowat-Wilson syndrome. Methods The clinical data and molecular genetic test results of Mowat-Wilson syndrome in a child were retrospectively analyzed, and the related literature was reviewed. Results A 3-year- and 10-month-old girl visited due to mental retardation and convulsions. She presented a distinctive facial appearance such as frontal bossing, hypertelorism, epicanthal folds, broad eyebrows, a broad nasal bridge, a prominent columella, a triangular chin and uplifted earlobes. Cardiovascular ultrasonography showed a bicuspid aortic valve malformation. Cranial magnetic resonance imaging revealed mild bilateral ventricular enlargement. Electroencephalogram monitoring showed that the epileptic discharge was localized in frontal and anterior temporal lobes. Genome sequencing and bioinformatics analysis showed a heterozygous mutation, c.164 delC, in exon 3 of ZEB2 gene, which resulted in the amino acid change of p.Pro55fs, and Mowat-Wilson syndrome was confirmed. Conclusion The ZEB2 gene mutation profile of Chinese Mowat-Wilson syndrome has been expanded.

Key words: Mowat-Wilson syndrome; ZEB2 gene; mutation