临床儿科杂志 ›› 2017, Vol. 35 ›› Issue (8): 613-.doi: 10.3969/j.issn.1000-3606.2017.08.013

• 综合报道 • 上一篇    下一篇

Jacobsen 综合征合并Paris-Trousseau 综合征1 例报告并文献复习

林俊1, 陈小红1, 赵培伟2, 黄玉凤2 ,  毕博1, 何学莲2   

  1. One case report of Jacobsen syndrome combine with Paris-Trousseau syndrome
  • 收稿日期:2017-08-15 出版日期:2017-08-15 发布日期:2017-08-15
  • 通讯作者: 何学莲 E-mail:hexuelian2013 @hotmail.com

One case report of Jacobsen syndrome combine with Paris-Trousseau syndrome

 LIN Jun1, CHEN Xiaohong1, ZHAO Peiwei2, HUANG Yufeng2, BI Bo1, HE Xuelian2   

  1. 1.Department of Rehibilitation, 2. Clinical Research Center, Wuhan Children’s Hospital, Wuhan 430016, Hubei, China )
  • Received:2017-08-15 Online:2017-08-15 Published:2017-08-15

摘要: 目的 探讨Jacobsen综合征合并Paris-Trousseau综合征的临床特征。方法   回顾分析1例Jacobsen综合征合 并Paris-Trousseau综合征患儿的临床资料,并复习相关文献。结果 患儿,女, 1岁2个月,发育落后,能独坐,不会独走, 四肢肌力可,尖头,眼距较宽、眼睑下垂,鼻梁低,眉毛稀疏;语言发育落后。脑电图未见异常,MRI示白质脑病。患儿新生 儿期血小板减少。应用染色体微阵列芯片分析技术发现患儿11q23.3~ q25区域存在缺失,缺失片段的大小为15.7 Mb, 该区域包括Paris-Trousseau综合征以及Jacobsen综合征的缺失区域,患儿确诊为Jacobsen综合征合并Paris-Trousseau综合 征。结论 Jacobsen综合征合并Paris-Trousseau综合征患儿颅面骨畸形,大脑白质发育异常,新生儿期血小板减少,染色体 芯片检测有助于明确诊断。

Abstract:  Objective To investigate the clinical features of a patient diagnosed with Jacobsen syndrome (JBS) and ParisTrousseau syndrome (PTS) using chromosomal microarray analysis. Method A retrospective analysis including the patients’ clinical manifestations, laboratory examination and genetic analysis was carried out and related literature were reviewed. Results A 14 month-old girl with global development retardation was reported. The patient can sit but cannot walk independently. The patient also presented hypsicephaly, ocular hypertelorism, palpebral ptosis, flat nasal bridge, sparse eyebrows, and speech delay. Gesell development scale showed that the patient was global development retarded with a development level of 40 weeks. No o bvious abnormality was found in EEG but the MRI showed cerebral white matter abnormality. This patient was also diagnosed with neonatal thrombocytopenia in other hospital. Genomic CNVs were detected in this girl, and a 15.7Mb loss was found in the 11q23.3q25 region that covers JBS and PTS region. Conclusions Patient diagnosed with JBS and PTS often present with craniofacial abnormalities, cerebral white matter abnormality and neonatal thrombocytopenia. Chromosomal microarray analysis can help diagnosis.