DiGeorge Syndrome (Aplasia or thymic hypoplasia). Presentation and revision of literature.
Keywords:
KEY WORDS, DIGEORGE SYNDROMEAbstract
It is presented a female newborn at six months of age with a genetic syndrome of thymic aplasia and she was under immunologic and chromosomal analysis. The pathology was characterized by a spectrum of disorders, lack or poor development of the thymus and parathyroid glands with faults in the efferent tract of the heart and craniofacial anomalies (velo-cardio-facial syndrome VCFS). The term deletion syndrome describes the subjacent cromosomic problem and the term velo- cardio- facial syndrome refers to the main systems of the body. The patient coincided with the DiGeorge syndrome due to recurrent infections phenotypically compatible to the Agenesia or thymic aplasia, and also compared to other patients according to the observed bibliography, the calcium values towards the inferior limits and the lower radiologic image of the thymus, favouring the knowledge and the experience to increase the treatments of similar pathologies in the future.
Downloads
References
1. Rafael Fabiano RM, Zen Paulo RG., Roman T, Graziadio C, Paskulin Giorgio A. Síndrome de deleção: compreendendo o CATCH22. Rev. Paul. Pediatr. [artículo en Internet]. 2009 [Consultado 2 Febrero 2011]; 27(2): [211-220]. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-
2. Aglony IM, Lizama CM, Méndez RC, Navarrete SC, Garay GF, Repetto LG. Manifestaciones clínicas y variabilidad inmunológica en nueve pacientes con síndrome de DiGeorge. Rev. Méd. Chile [artículo en Internet]. 2004 [Consultado 2 Febrero 2011]; 132(1): [26-32]. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-
3. Fomin A, Pastorino AC, Kim Chong A, Pereira CA, Carneiro-Sampaio M, Abe-Jacob CM. DiGeorge Syndrome: a not so rare disease. Clinics [artículo en Internet]. 2010 [Consultado 2 febrero 2011]; 65(9): [865-869]. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-
4. Di George AM. Congenital absence of the thymus and its immunological consequences: concurrence with congenital hypoparathyroidism. Birth Defects 1968; 4: 116-21.
5. Conley ME, Beckwith JB, Mancer JFK, Tenckhoff L. The spectrum of the DiGeorge syndrome. J Pediatr 1979; 94: 883-90.
6. Barrett D, Amann AJ, Wara DW, Cowan MJ, Fisher TJ, Stiehm RE. Clinical and immunological spectrum of DiGeorge syndrome. J Clin Lab Immunol 1981; 6: 1-6.
7. Muller M, Peter HH, Juppner H, Kallfelz HC, Krohn HP, Muller K et al. The DiGeorge syndrome I. Clinical evaluation and course of partial and complete forms of the syndrome. Eur J Pediatr 1988; 147: 496-502.
8. Muller W, Peter HH, Kallfelz HC, Franz A, Rieger CH. The DiGeorge sequence II. Immunological findings in partial and complete forms of the disorder. Eur J Pediatr 1989; 149: 96-103.
9. Greenberg F. What defines DiGeorge anomaly? J Pediatr 1989; 115: 412-3.
10. Bastian J, Law S, Vogler L, Lawton A, Herrod H, Anderson S et al. Prediction of persistent immunodeficiency in the DiGeorge anomaly. J Pediatr 1989; 115: 391-6.
11. Freedom RM, Rosen FS, Nadas AS. Congenital cardiovascular disease and anomalies of third and fourth pharyngeal pouch. Circulation 1972; 46: 165-72.
12. Bockman DL, Kirby ML. Dependence of thymus development on derivatives of neural crest. Science 1984; 223: 498-500.
13. De la Chapelle A, Herva R, Koivisto M, Aula P. A deletion in chromosome 22 can cause DiGeorge syndrome. Hum Genet 1981; 57: 253-6.
14. Driscoll DA, Salvin J, Sellinger B. Prevalence of 22q11 microdeletion in DiGeorge syndrome and velocardiofacial syndromes: Implications for genetic counselling and prenatal diagnosis. J Med Genet 1993; 30: 813-7.
15. De Decker HP, Lawrenson PB. The 22q11.2 deletion: from diversity to a single gen theory. Genet Med 2001; 3: 2-5.
16. Muñoz S, Garay F, Flores I, Heusser F, Talesnik E, Aracena M et al. Heterogeneidad de la presen-tación clínica del síndrome de microdeleción del cromosoma 22, región q11. Rev Méd Chile 2001; 129: 515-21.
17. Comans-Bitter WM, De Groot R, Van den Beemd, Neijens H, Wim CJ, Groenveld K et al. Immunophenothyping of blood lymphocytes in childhood. References values for lymphocytes subpopulations. J Pediatr 1997; 130: 388-93.
18. Buckley RH, Schiff R, Sampson HA. Development of immunity in severe primary T cell deficiency haploidentical bone marrow transplantation. J Immunol 1986; 136: 2398-407.
19. Burn J, Wilson DI, Scambler P, Goodship J. DiGeorge syndrome: Part of CATCH 22. J Med Genet 1993; 30: 852-6.
20. Tobías ES, Morrison N, Whiteford ML, Tolmie JL. Towards earlier diagnosis of 22q11 deletions. Arch Dis Child 1999; 81: 513-4.
21. Van Mierop LHS, Kutsche LM. Cardiovascular anomalies in DiGeorge syndrome and importance of neural crest as a possible pathogenetic factor. Am J Cardiol 1986; 58: 133-7.
22. García E, Camacho J, Gómez MJ, Del Castillo E, Martínez MJ, López JP. Transient congenital hypoparathyroism and 22q11 deletion. J Pediatr Endocrinol Metab 2000; 13: 659-61.
23. Weinzimer SA. Endocrine aspects of the 22q11.2 deletion syndrome. Genet-Med 2001; 3: 19-22.
24. Markert ML, Majure M, Harville T, Hulka G, Oldham KT. Severe laryngomalacia and bronchomalacia in DiGeorge syndrome and CHARGE association. Pediatr Pulmonol 1997; 24: 364-9.
25. Deerojanawong J, Chang AB, Eng PA, Robertson CF, Kemp AS. Pulmonary disease in children with severe combined immunodeficiency and DiGeorge syndrome. Pediatr Pulmonol 1997; 24: 324-30.
26. Huang RY, Shapiro NL. Structural airway anomalies in patients with DiGeorge syndrome: A current review. Am J Otolaryngol 2000; 21: 326-30.
27. Wells TR, Landing BH, Galliani CA, Thomas RA. Abnormal growth of the thyroid cartilage in the DiGeorge syndrome. Pediatr Pathol 1986; 6: 209-25.
28. Sein K, Wells TR, Landing BH, Chow CR. Short trachea with reduced number of cartilage rings: A hitherto unrecognized feature of DiGeorge syndrome. Pediatr Pathol 1985; 4: 81-8.
29. Carlson C, Sirotkin H, Goldberg R, McKie J, Pantanjali SR, Weissman SM et al. Molecular definition of 22q11 deletion in 151 velo-cardio-facial syndrome patients. Am J Hum Genet 1997; 61: 620-9.
30. Iascone MR, Vottiorini S, Sacchelli M, SpadoniI, Simi P. Molecular characterization of 22q11 deletion in a three generation family with maternal transmission. Am J Med Genet 2002; 108: 319-21.
31. Pizzuti A, Novelli G, Ratti A, Amati F, Mari A, Calabrese G et al. UFD1L, a developmentally expressed ubiquitination gen, is deleted in CATCH 22 syndrome. Human Mol Genet 1997; 6: 259-65.
Downloads
Published
How to Cite
Issue
Section
License
Avisos de derechos de autor propuestos por Creative Commons
1. Política propuesta para revistas que ofrecen acceso abierto
Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:- Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
- Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) antes y durante el proceso de envío, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).