临床儿科杂志 ›› 2021, Vol. 39 ›› Issue (5): 373-.doi: 10.3969/j.issn.1000-3606.2021.05.012

• 综合报道 • 上一篇    下一篇

Ayme-Gripp 综合征1 例报告并文献复习

王建东 1, 方敩 1, 靳培娜 1, 孙娟 1, 禚志红 2, 孔惠敏 2, 王怀立 1   

  1. 郑州大学第一附属医院 1.儿童重症监护室; 2.儿科(河南郑州 450052)
  • 发布日期:2021-05-07
  • 通讯作者: 王怀立 电子信箱:whlek6527@126.com

Ayme-Gripp syndrome: a case report and literature review

w WANG Jiandong1 , FANG Xiao1 , JIN Peina1 , SUN Juan1 , ZHUO Zhihong2 , KONG Huimin2 , WANG Huaili 1   

  1. 1 . Pediatric Intensive Care Unit, 2 . Department of Pediatrics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052 , Henan, China
  • Online:2021-05-07

摘要: 目的 总结Ayme-Gripp综合征(AYGRPS)的临床及基因变异特征。方法 回顾分析1例AYGRPS患儿的临 床资料,并复习相关文献。结果 女性患儿,3岁3个月,5月龄起反复出现抽搐。头围45.5 cm(C(p.E 156 D)杂合错义变异;预测为有害变异。结合患儿表型及 变异位点,诊断为MAF变异所致AYGPRS。查阅文献共21例AYGRPS,均为MAF基因错义变异,以先天性白内障、感音 神经性耳聋、特殊面容、骨骼异常伴神经发育异常为主要特征,且合并多系统受累的先天性疾病,半数以上可出现癫痫。 结论 癫痫是AYGRPS常见临床特征之一,并发现MAF基因新的变异位点。

关键词: Ayme-Gripp综合征; MAF基因; 癫痫; 临床特点; 诊疗措施

Abstract: Objective To summarize the clinical characteristics and genetic change in Ayme-Gripp syndrome (AYGRPS). Methods The clinical data of a child with AYGRPS were retrospectively analyzed and related literatures were reviewed. Results A 3 years and 3 months old female patient presented recurrent seizure since five months old. Her head circumference was 45.5 cm ( C (p.E 156 D) heterozygous missense mutation in MAF gene. Combined with the phenotype and variation, this child was diagnosed as AYGPRS caused by MAF gene mutation. A total of 21 cases of AYGRPS were reviewed in the literature, and all the 21 patients carried missense mutations in MAF gene. The AYGRPS is a congenital disease with multiple system involvement, characterized by congenital cataracts, sensorineural hearing loss, special facial features, skeletal abnormalities and neurodevelopmental abnormalities. More than half patients may have epilepsy. Conclusion Epilepsy is one of the common clinical features of AYGRPS, and a novel mutation in MAF was discovered.

Key words: Ayme-Gripp syndrome; MAF gene; epilepsy; clinical mainfeature; diagnosis and treatment