多系统受累的部分 Digeorge 综合征复杂病例:癫痫发作、甲状腺机能减退和反复感染

Tijisha Mol J, Anna George, Khadheeja S Shahul, Subhala R
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摘要

迪乔治综合征(DGS)或 22q11.2 缺失综合征(22q11DS)是一种遗传性疾病,其特征是 22 号染色体 q11.2 带的微缺失,表现出一系列临床特征,包括免疫缺陷、甲状旁腺功能低下和先天性心脏病。部分狄氏综合征是这些特征的一个子集,使诊断和治疗变得更加复杂。本病例研究描述了一名患有部分狄氏综合征的 45 岁女性,她曾出现癫痫发作、甲状腺机能减退和反复感染。摔倒后,她面部多处骨折,并出现呼吸道症状。对她的治疗包括针对癫痫发作活动的重症监护、纠正电解质失衡以及治疗呼吸系统并发症和感染。患者需要神经科医生、内分泌科医生和肺科医生参与的多学科治疗。患者的复杂表现突出表明,需要全面、协调的医疗护理来应对迪乔治综合征偏瘫的多方面影响。主要治疗策略包括持续监测、内分泌支持和针对性抗生素治疗。本病例强调了多学科方法在管理部分迪乔治综合征中的重要性,强调了综合治疗对改善患者预后和生活质量的必要性。关键词: 迪乔治综合征 癫痫发作、甲状腺机能减退、反复感染
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Complex Case of Partial Digeorge Syndrome with Multiple System Involvement: Seizure Disorder, Hypothyroidism and Recurrent Infection
DiGeorge Syndrome (DGS), or 22q11.2 deletion syndrome (22q11DS), is a genetic disorder characterized by a microdeletion on chromosome 22 at band q11.2, presenting with a range of clinical features including immunodeficiency, hypoparathyroidism, and congenital heart disease. Partial DiGeorge Syndrome involves a subset of these features, complicating diagnosis and management. This case study describes a 45-year-old female with partial DiGeorge Syndrome who presented with a seizure disorder, hypothyroidism, and recurrent infections. Following a fall, she sustained multiple facial bone fractures and developed respiratory symptoms. Her management included intensive care for seizure activity, correction of electrolyte imbalances, and treatment for respiratory complications and infections. The patient required multidisciplinary care involving neurologists, endocrinologists, and pulmonologists. The patient's complex presentation highlighted the need for comprehensive, coordinated medical care to address the multifaceted impacts of partial DiGeorge Syndrome. Key management strategies included continuous monitoring, endocrine support, and targeted antibiotic therapy. This case underscores the importance of a multidisciplinary approach in managing partial DiGeorge Syndrome, emphasizing the need for integrated care to improve patient outcomes and quality of life. KEYWORDS: DiGeorge Syndrome, Seizure Disorder, Hypothyroidism, Recurrent Infection
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