临床儿科杂志 ›› 2020, Vol. 38 ›› Issue (5): 324-.doi: 10.3969/j.issn.1000-3606.2020.05.002

• 遗传学疾病专栏 • 上一篇    下一篇

NOTCH2 基因突变致Hajdu-Cheney 综合征临床特征及随访并文献复习

吴燕明 1,2, 王丽 3, 李群 1, 李辛 1, 胥雨菲 1, 沈永年 1, 王剑 1, 王秀敏 1   

  1. 1.上海交通大学医学院附属上海儿童医学中心(上海 200127);2.上海市浦东新区人民 医院(上海 201299);3.济宁医学院附属医院(山东济宁 272001)
  • 出版日期:2020-05-15 发布日期:2020-06-02
  • 通讯作者: 王秀敏 电子信箱:wangxiumin1019@126.com
  • 基金资助:
    国家自然科学基金(No. 81360139);上海市浦东新区科技发展基金(No.PKJ 2018 -Y 46)

Clinical characteristics of Hajdu-Cheney syndrome induced by NOTCH2 gene mutation and follow-up: a case report and literature review

 WU Yanming1,2, WANG Li3, LI Qun1, LI Xin1, XU Yufei1, SHEN Yongnian1, WANG Jian1, WANG Xiumin1   

  1. 1. Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; 2. People’s Hospital of Shanghai Pudong New District, Shanghai 201299, China; 3. Affiliated Hospital of Jining Medical College, Jining 272001, Shandong, China
  • Online:2020-05-15 Published:2020-06-02

摘要: 目的 探讨NOTCH2基因变异致Hajdu-Cheney综合征(HCS)的临床表现和致病基因特点。方法 回顾 分析1例HCS患儿的临床及随访资料,并复习相关文献。结果 患儿,男,11岁8月龄。手指末端发育异常,特殊面容, 身材偏矮,摔跤后胸椎压缩性骨折;影像学发现肢端骨溶解、颅底凹陷。高通量测序结果显示,患儿NOTCH2基因存在 c.6449_6450delCT,p.Pro2150Argfs*2杂合变异,其父母该位点的基因型均无异常,为新生突变。结论 基因检测有助于 明确诊断HCS。

关键词: 肢端骨溶解; 骨折; NOTCH2基因; 高通量测序

Abstract:  Objective To explore the clinical manifestations and pathogenic gene characteristics of Hajdu-Cheney syndrome (HCS) caused by NOTCH2 gene mutation. Method The clinical and follow-up data of a boy with HCS were retrospectively analyzed, and the relevant literatures were reviewed. Results A child, male, 11 years and 8 months old, had abnormal finger terminal development, special face, short stature and compression fracture of the thoracic vertebra after fall. Imaging revealed acroosteolysis and basilar invagination. High-throughput sequencing identified a de novo heterozygous mutation of c.6449_6450delCT (p.Pro2150Argfs*2) in the NOTCH2 gene of the child, which has not been reported. Conclusion Gene detection is helpful for the diagnosis of HCS.

Key words:  acroosteolysis; fracture; NOTCH2 gene; high-throughput sequencing