ACHONDROPLASIA: CASE OF LATE DIAGNOSIS
https://doi.org/10.34822/2304-9448-2021-1-92-98
Abstract
The study aims to present an analysis of the late diagnosis of achondroplasia in an 8-year-old child. Material and methods. A clinical case of achondroplasia in a girl with partial growth hormone deficiency is presented.
Anamnestic data and the results of a large block of examination, which did not lead to timely diagnosis of pathology, are analyzed. Results. In the process of dynamic observation, a rare genetic disease with characteristic typological manifestations was revealed in a child of 8 years. The isolation of individual clinical signs of growth retardation, isolated from other manifestations, led to an underestimation of the clinical situation and late diagnosis.
About the Authors
Ya. V. GirshRussian Federation
Doctor of Sciences (Medicine), Professor, Professor of the Department of Children Diseases, Medical Institute
E-mail: yanaef@yandex.ru
E. V. Sedova
Russian Federation
Resident Medical Officer, Medical Institute
E-mail: katrin.94@bk.ru
A. A. Teplyakov
Russian Federation
andidate of Sciences (Medicine), Associate Professor Department of Children Diseases, Medical Institute
E-mail: atepliakov@yandex.ru
References
1. Попков А. В., Швецов В. И. Ахондроплазия. М. : Медицина, 2001. 196 с.
2. Дедов И. И., Петеркова В. А. Федеральные клинические рекомендации (протоколы) по ведению детей с эндокринными заболеваниями. М. : Практика, 2014. 561 с.
3. Арсентьев В. Г., Баранов В. С., Шабалов Н. П. Наследственные заболевания соединительной ткани как конституциональная причина полиорганных нарушений у детей. СПб. : СпецЛит, 2014. 188 с.
4. Chae Y. K., Ranganath K., Hammerman P. S., Vaklavas C., Mohindra N., Kalyan A., Matsangou M., Costa R., Carneiro B., Villaflor V. M., Cristofanilli M., Giles F. J. Inhibition of the Fibroblast Growth Factor Receptor (FGFR) Pathway: The Current Landscape and Barriers to Clinical Application //
5. Oncotarget. 2017. № 8 (9). Р. 785–813.
6. Kanazawa T. Y., Bonadia L. C., Cavalcanti D. P. Frequency of the Allelic Variant c.1150T > C in Exon 10 of the Fibroblast Growth Factor Receptor 3 (FGFR3) Gene is not Increased in Patients with Pathogenic Mutations and Related Chondrodysplasia Phenotypes // Journal of Genetics and Molecular Biology. 2014. № 37 (4). P. 622–624.
7. Shiang R., Thompson L. M., Zhu Y. Z., Church D. M., Fielder T. J., Bocian M., Winokur S. T., Wasmuth J. J. Mutations in the Transmembrane Domain of FGFR3 Cause the Most Common Genetic Form of Dwarsm, Achondroplasia // Cell.1994. P. 335–342.
8. Ньюссбаум Р. Л., Мак-Иннес Р. Р., Виллард Х. Ф. Медицинская генетика / пер. с англ. А. Ш. Латыпова ; под ред. Н. П. Бочкова. М. : ГЭОТАР-Медиа, 2010. С. 480–482.
9. Vajo Z., Francomano C. A., Wilkin D. J. The Molecular and Genetic Basis of Broblast Growth Factor Receptor 3 Disorders: The Achondroplasia Family of Skeletal Dysplasias, Muenke Craniosynostosis, and Crouzon Syndrome with Acanthosis Nigricans // Endocrine Reviews. 2000. № 48. P. 23–39.
10. Гирш Я. В. Современные подходы к диагностике и терапии эндокринных заболеваний в детском возрасте. Сургут : ИЦ СурГУ, 2016. 134 с.
11. Никитина И. Л., Скородок Ю. Л. Диагностика и лечение
12. низкорослости в практике педиатра и эндокринолога. Новые клинические рекомендации // Лечащий врач. 2017. № 7. С. 48–51.
13. Bonafe L., Cormier-Daire V., Hall C., Lachman R., Mortier G., Mundlos S., Nishimura G., Sangiorgi L., Savarirayan R., Sillence D., Spranger J., Superti-Furga A., Warman M., Unger S. Nosology and Classification of Genetic Skeletal Disorders 2015 Revision // American Journal of Medical Genetics. Part A. 2015. № 167 A (12). P. 65–73.
14. Korkmaz H. A., Hazan F., Dizdarer C., Tükün A. Hypochondroplasia in a Child with 1620CG (Asn540Lys) Mutation in FGFR3 // Journal of Clinical Research in Pediatric Endocrinology. 2012. № 4. P. 220–222.
15. Rousseau F., Bonaventure J., Legeai-Mallet L., Pelet A., Rozet J. M., Maroteaux P., Le Merrer M., Munnich A. Mutations in the Gene Encoding Broblast Growth Factor Receptor-3 in Achondroplasia // Nature. 1994. № 371. P. 252–254.
Review
For citations:
Girsh Ya.V., Sedova E.V., Teplyakov A.A. ACHONDROPLASIA: CASE OF LATE DIAGNOSIS. Vestnik SurGU. Meditsina. 2021;(1 (47)):92-98. (In Russ.) https://doi.org/10.34822/2304-9448-2021-1-92-98