典型文献
Cerebral small vessel disease caused by
PLOD3 mutation: Expanding the phenotypic spectrum of lysyl hydroxylase-3 deficiency
文献摘要:
Introduction::Pathogenic variants in
PLOD3, encoding lysyl hydroxylase-3 (LH3), can cause a hereditary connective tissue disorder that has rarely been reported. It is a multi-system disease, presenting with craniofacial dysmorphisms, skeletal and eye manifestations, sensorineural hearing loss, and variable skin manifestations. Severe central nervous system involvement has not been reported.
Case presentation::A 10-month-old girl was admitted with development delay and clustered epileptic spasms. Hypertelorism, an upturned nose, and low-set ears were noted in physical examination. Cerebral magnetic resonance imaging showed multiple intracranial malacias and bleeding foci, extensive abnormal signals in the white matter, and obvious brain atrophy, which was consistent with cerebral small vessel disease (SVD). Electroencephalography suggested hypsarrhythmia. The vertebrae were flattened. The distal end of the metacarpal bone in the left hand was irregular. She was diagnosed with West syndrome. Whole-exome sequencing revealed a novel homozygous variant of c.1216_1218delCTC (p.L406del) in
PLOD3, which was found to be inherited from her heterozygous parents.
Conclusion::We report a patient with pathogenic
PLOD3 mutation who presented with cerebral SVD. This report expands the phenotypic spectrum of LH3 deficiency.
文献关键词:
PLOD3;Small vessel disease;West syndrome
中图分类号:
作者姓名:
Zhou Ji;Feng Weixing;Zhuo Xiuwei;Lu Wenting;Wang Junling;Fang Fang;Wang Xiaohui
作者机构:
Department of Neurology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, China;Hematology Oncology Center, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, China
文献出处:
引用格式:
[1]Zhou Ji;Feng Weixing;Zhuo Xiuwei;Lu Wenting;Wang Junling;Fang Fang;Wang Xiaohui-.Cerebral small vessel disease caused by
PLOD3 mutation: Expanding the phenotypic spectrum of lysyl hydroxylase-3 deficiency
)[J].儿科学研究(英文),2022(03):219-223
A类:
PLOD3,deficiency
,LH3,dysmorphisms,Hypertelorism,upturned,malacias,hypsarrhythmia,metacarpal,1218delCTC,L406del
B类:
Cerebral,small,vessel,disease,caused,by,mutation,Expanding,phenotypic,spectrum,lysyl,hydroxylase,Introduction,Pathogenic,variants,encoding,can,hereditary,connective,tissue,disorder,that,has,rarely,been,reported,It,system,presenting,craniofacial,skeletal,eye,manifestations,sensorineural,hearing,loss,variable,skin,Severe,central,nervous,involvement,Case,presentation,month,old,girl,was,admitted,development,delay,clustered,epileptic,spasms,low,set,ears,were,noted,physical,examination,magnetic,resonance,imaging,showed,multiple,intracranial,bleeding,foci,extensive,abnormal,signals,white,matter,obvious,brain,atrophy,which,consistent,cerebral,SVD,Electroencephalography,suggested,vertebrae,flattened,distal,end,bone,left,hand,irregular,She,diagnosed,West,syndrome,Whole,exome,sequencing,revealed,novel,homozygous,found,inherited,from,heterozygous,parents,Conclusion,patient,pathogenic,who,presented,This,expands,Small
AB值:
0.596104
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