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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아내분비학회 Annals of Pediatirc Endocrinology & Metabolism Annals of Pediatirc Endocrinology & Metabolism 제21권 제1호
- 발행연도
- 2016.1
- 수록면
- 15 - 20 (6page)
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초록· 키워드
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Purpose: Williams-Beuren syndrome (WBS) is caused by a hemizygous microdeletion of chromosome 7q11.23 and is characterized by global cognitive impairment, dysmorphic facial features, and supravalvular aortic stenosis. Endocrine dysfunctions have been reported in patients with WBS. This study was performed to investigate the frequency, clinical features, and outcomes of endocrine dysfunctions in children with WBS.
Methods: One hundred two patients were included. The diagnosis was confirmed by chromosome analysis and fluorescent in situ hybridization. Medical charts were reviewed retrospectively to analyze endocrine dysfunctions such as short stature, precocious puberty, thyroid dysfunctions, and hypocalcemia.
Results: The age at diagnosis was 3.7±4.4 years (one month to 19 years). Height- and weight-standard deviation score (SDS) were –1.1±1.1 and –1.4±1.4 at presentation, respectively. Short stature was found in 26 patients (28.3%) among those older than 2 years. Body mass index-SDS increased as the patients grew older (P<0.001).
Two males and one female (2.9%) were diagnosed with central precocious puberty.
Nine patients (8.8%) were diagnosed with primary hypothyroidism at age 4.0±4.3 years (one month to 12.1 years); their serum thyroid stimulating hormone and free T4 levels were 15.2±5.4 μU/mL and 1.2±0.2 ng/dL, respectively. Hypercalcemia was observed in 12 out of 55 patients under age 3 (22%) at the age of 14.3±6.6 months (7 to 28 months) with a mean serum calcium level of 13.1±2.1 mg/dL.
Conclusion: Endocrine dysfunctions are not uncommon causes of morbidity in patients with WBS. The severity and outcomes of their endocrine manifestations were heterogeneous. Long-term follow-up is needed to predict the prognosis of endocrine features.
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참고문헌 (28)
참고문헌 신청
Stromme P / 2002 / Prevalence estimation of Williams syndrome / J Child Neurol 17:269~271
Schubert C / 2009 / The genomic basis of the Williams-Beuren syndrome / Cell Mol Life Sci 66:1178~1197
Segura-Puimedon M / 2014 / Heterozygous deletion of the Williams-Beuren syndrome critical interval in mice recapitulates most features of the human disorder / Hum Mol Genet 23:6481~6494
Pober BR / 2010 / Williams-Beuren syndrome / N Engl J Med 362:239~252
Li HH / 2009 / Induced chromosome deletions cause hypersociability and other features of Williams-Beuren syndrome in mice / EMBO Mol Med 1:50~65
Schubert C / 2009 / The genomic basis of the Williams-Beuren syndrome / Cell Mol Life Sci 66:1178~1197
Segura-Puimedon M / 2014 / Heterozygous deletion of the Williams-Beuren syndrome critical interval in mice recapitulates most features of the human disorder / Hum Mol Genet 23:6481~6494
Pober BR / 2010 / Williams-Beuren syndrome / N Engl J Med 362:239~252
Li HH / 2009 / Induced chromosome deletions cause hypersociability and other features of Williams-Beuren syndrome in mice / EMBO Mol Med 1:50~65
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