PPM1D基因突变致Jansen-de Vries综合征一例并文献复习

A Case Report of Jansen-de Vries Syndrome Caused by PPM1D Gene Mutation and Literature Review

  • 摘要: Jansen-de Vries综合征又称为“具有胃肠功能紊乱和高痛觉阈值的智力发育障碍”,是一种多系统受累的常染色体显性遗传病。本文报道1例女性患儿,自幼表现出精神运动发育迟缓、胃肠功能紊乱、智力障碍、身材矮小,面容特征包括宽前额、鼻梁低平、上唇较薄、牙齿稀疏且排列不齐,此外,患儿存在小手、小脚、手指畸形等表型。通过全外显子组测序和拷贝数变异分析技术,发现PPM1D基因存在c.1281G>A:p.Trp427Ter的致病性变异。同时,对该病的临床特点、诊断方法及治疗进展进行文献复习,以期为临床诊疗此疾病提供参考。

     

    Abstract: Jansen-de Vries syndrome, also known as intellectual developmental disorder with gastrointestinal difficulties and high pain threshold, is a rare autosomal dominant disorder characterized by multisystem involvement. This article reports the case of a young child who presented with global developmental delay, gastrointestinal dysfunction, intellectual disability, and short stature. Distinct facial features included a broad forehead, low nasal bridge, thin upper lip, and widely spaced and misaligned teeth. Additional phenotypic findings involved small hands and feet, as well as digital anomalies. Through whole-exome sequencing (WES) and copy number variation (CNV) analysis, a pathogenic variant was identified in the PPM1D gene: c.1281G > A (p.Trp427Ter). This report also reviews the current literature on the clinical characteristics, diagnostic approaches, and therapeutic advances related to this condition, aiming to provide valuable insights for its clinical diagnosis and management.

     

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