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  Citation Number 2
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Williams-Beuren Sendromlu Çocukların Klinik ve Ekokardiyografik Değerlendirilmesi
2020
Journal:  
Türkiye Çocuk Hastalıkları Dergisi
Author:  
Abstract:

Amaç: Williams-Beuren Sendromu nadir görülen genetik bir hastalıktır. Bu hastalarda doğumsal kalp hastalıkları sık görülmekte ve sendromdaki en önemli mortalite ve morbidite nedenini oluşturmaktadır. Çalışmamızda, Williams sendromu tanısı ile takip edilen hastalarımızın kardiyovasküler bulguları ve klinik izlemleri değerlendirildi.  Gereç ve Yöntemler: Ocak 2011- Kasım 2017 tarihleri arasında Çocuk Kardiyoloji Bölümü tarafından Williams Sendrom tanısı koyulan toplam 12 olgu değerlendirildi.  Bulgular: Hastaların %83’ünde doğumsal kalp hastalığı mevcuttu. En sık görülen kardiyak anomali pulmoner stenozdu. Hastaların %60’ında pulmoner stenoz, %50’sinde aort stenozu, %30’unda ventriküler septal defekt, %20’sinde atriyal septal defekt saptandı. Birer olguda hipertrofik kardiyomiyopati, aort koarktasyonu ve mitral kapak prolapsusu vardı. Eşlik eden ek anomalilere bakıldığında hastaların %50’sinde hipotiroidi, %50’sinde idiyopatik hiperkalsemi, %16’sında nefrolitiyazis, %34’ünde herni saptandı.  Sonuç: Williams sendromlu hastalarda doğumsal kalp hastalıkları sık görülmektedir. Klinik belirti ve bulgu olmasa da bu çocukların kardiyak açıdan değerlendirilmesi, erken tanıyı sağlayacak ve ileride ortaya çıkabilecek geri dönüşümsüz komplikasyonların gelişmesini engelleyecektir. Bu hastalar eşlik edebilecek çoklu sistemik bozukluklar açısından belirli aralıklarla izlenmelidir. 

Keywords:

Clinical and ecocardiographic assessment of children with Williams-Beuren syndrome
2020
Author:  
Abstract:

Williams-Beuren syndrome is a rare genetic disease. In these patients, infarctional heart disease is common and causes significant mortality and morbidity in the syndrome. In our study, we evaluated the cardiovascular findings and clinical observations of our patients followed by the diagnosis of Williams syndrome.  Tools and Methods: A total of 12 incidents diagnosed with Williams syndrome were assessed by the Children’s Cardiology Department between January 2011 and November 2017.  Results: 83% of patients had congenital heart disease. The most common cardiac anomaly was pulmonary stenosis. In 60% of patients, pulmonary stenosis, in 50% aortal stenosis, in 30% ventricular septal defect and in 20% atrial septal defect were detected. In one case there was hypertrophic cardiomyopathy, aortal coarctation and mitral cover prolapsus. With regard to the accompanying additional anomalies, 50 percent of patients were diagnosed with hypothyroidism, 50 percent with idiopathic hypercalcemia, 16 percent with nefrolithiasis, and 34 percent with herni.  The result: Parental heart disease is common in patients with Williams syndrome. Although there are no clinical signs and findings, cardiovascular assessment of these children will provide early diagnosis and prevent the development of irreversible complications that may occur in the future. These patients should be monitored at certain intervals in terms of multiple systemic disorders that may be accompanied.

Keywords:

0
2020
Author:  
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Türkiye Çocuk Hastalıkları Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

Metrics
Article : 1.066
Cite : 887
2023 Impact : 0.012
Türkiye Çocuk Hastalıkları Dergisi