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Stuve-Wiedemann Sendromu: Nadir Bir Klinik Antite
2020
Journal:  
Gazi Medical Journal
Author:  
Abstract:

Stuve-Wiedemann sendromu boy kısalığı, uzun kemiklerde eğrilik, kamptodaktili ve eklem kontraktürleri gibi iskelet sistemi bulgularının yanısıra otonomik disfonksiyon, solunum yetmezliği ve yutma disfonksiyonu ile karakterize otozomal resesif geçişli bir bozukluktur. Etiyolojiden kromozom 5p13 bölgesinde yer alan leukemia inhibitory factor receptor genindeki mutasyonlar sorumludur. Bu yazıda Stuve-Wiedemann sendromu tanısı konulan ve moleküler analiz ile doğrulanan bir süt çocuğu sunuldu. Altı aylık kız hasta epizodik hipertermi, kamptodaktili ve bacaklar arasında uzunluk farkı nedeniyle değerlendirildi. Radyografik incelemede yaygın osteopeni ile alt ekstremitelerde skleroz artışı ve eğrilik deformitesi saptandı. Stuve-Wiedemann sendromu ön tanısı ile yapılan leukemia inhibitory factor receptor geni dizi analizinde hastada literatürde daha önce bu hastalık ile ilişkili olarak bildirilmiş c.2074C>T (p.Arg692Ter) mutasyonu homozigot, anne ve babasında heterozigot olarak saptandı. Sonuç olarak uzun kemiklerde eğrilik ve osteopeni ile karakterize iskeletin genetik bir hastalığı olan Stuve-Wiedemann sendromu epizodik hipertermi, solunum sıkıntısı ve yutma disfonksiyonu ile başvuran hastaların ayırıcı tanısında mutlaka akılda tutulmalıdır.

Keywords:

Stuve-Wiedemann Syndrome: Nadir Bir Clinic Antite
2020
Author:  
Abstract:

Stuve-Wiedemann syndrome is an autosomal resessive transitional disorder characterized by shortness of length, curvature in long bones, camptodactile and joint contractors, as well as bone system findings, autonomous dysfunction, respiratory failure and digestion dysfunction. The etiology is responsible for mutations in the leukemia inhibitory factor receptor gene located in the chromosome area 5p13. This article presented a milk child diagnosed with Stuve-Wiedemann syndrome and confirmed by molecular analysis. The six-month-old girl was diagnosed with episodic hypertermia, camptodactile and the length difference between the legs. Radiographic examinations found increased sclerosis and curvature deformity in the lower limbs with common osteopenia. In the analysis of the leukemia inhibitory factor receptor gene series with pre-diagnosis of Stuve-Wiedemann syndrome, the patient's mutation c.2074C>T (p.Arg692Ter) previously related to this disease in the literature was identified as homozigot, heterozigot in the mother and father. As a result, the Stuve-Wiedemann syndrome, a genetic disease of the skeleton characterized by curvature and osteopenia in the long bones, should necessarily be taken into account in the distinctive diagnosis of patients with episodic hypertermia, respiratory failure and digestive dysfunction.

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Gazi Medical Journal

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Gazi Medical Journal