临床儿科杂志 ›› 2019, Vol. 37 ›› Issue (5): 356-.doi: 10.3969/j.issn.1000-3606.2019.05.008

• 综合报道 • 上一篇    下一篇

染色体1p36 缺失综合征2 例诊断及随访

刘慧丽, 王丽丽, 高学仁, 余永国, 范燕洁   

  1. 上海交通大学医学院附属新华医院小儿内分泌/遗传科 上海市儿科医学研究所(上海 200092)
  • 出版日期:2019-05-15 发布日期:2019-05-15
  • 通讯作者: 范燕洁,余永国 电子信箱:fanyanjie@shsmu.edu.cn; yuyongguo@shsmu.edu.cn
  • 基金资助:
    上海市卫生和计划生育委员会科研课题青年项目(No.20154Y0106)

Genetic diagnosis and follow-up of two children with chromosome 1p36 deletion syndrome

 LIU Huili, WANG Lili, GAO Xueren, YU Yongguo, FAN Yanjie   

  1. Department of Pediatric Endocrinology/Genetics, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Institute for Pediatric Research, Shanghai 200092, China
  • Online:2019-05-15 Published:2019-05-15

摘要: 目的 探讨1p36 缺失综合征的临床特征。方法 应用染色体微阵列分析技术(CMA)对2例有特殊面容的 生长发育落后患儿进行基因检测,并长期随访例1患儿身高和体质量。结果 患儿男女各1例,均表现为特殊面容、肥胖、 矮小、智力低下,尤其是语言发育落后;应用CMA发现2例患儿1p36.33-1p36.32区域均有缺失,例1女性患儿为1 757 kb的杂合缺失,例2男性患儿为2 533 kb的杂合缺失,均确诊为1p36缺失综合征。例1女性患儿自7岁起长期随访身高增 长,发现其12岁起身高曲线自-2SD向下偏离。结论 1p36缺失综合征有典型面容特征,智力障碍,尤其是语言发育落后, 矮小。女性患者可能因青春期中期身高增速减缓而导致终身高矮小。CMA有助于明确诊断。

关键词:  1p36缺失综合征; 矮小; 发育落后; 染色体微阵列分析技术

Abstract: Objective To explore the clinical characteristics and growth pattern in patients with 1p36 deletion syndrome. Methods Chromosomal microarray analysis (CMA) was used to detect genetic changes in two children with growth and developmental delay. Long-term follow-up of one subject was conducted to track the trend of height and weight change. Results Two subjects (one girl and one boy) were reported, both presenting characteristic face, obesity, short stature and intellectual disability (especially delay in language development). CMA identified 1p36.33-p36.32 deletion in both subjects. The girl harbors a 1757 kb heterozygous deletion, and the boy harbors a 2533 kb heterozygous deletion. Both were diagnosed as 1p36 deletion syndrome. Long-term follow-up on this subject from 7 years old and onwards revealed decelerated growth from 12 years old. Conclusions 1p36 deletion syndrome has varied clinical manifestations including typical facial characteristics, developmental delay, and other abnormalities. Females with this syndrome can present decelerated growth in middle adolescence, which eventually leads to short stature. CMA can facilitate the diagnosis of 1p36 deletion syndrome.

Key words: 1p36 deletion syndrome; short stature; developmental delay; chromosomal microarray analysis