Analysis of clinical manifestations and genetic mutations in a child with Laron syndrome

OBJECTIVE: To analyze clinical manifestations and gene mutations in a child with severe short stature, explore its molecular mechanism and further clarify the diagnostic procedure for short stature

Bibliographische Detailangaben
Veröffentlicht in:Zhonghua er ke za zhi = Chinese journal of pediatrics. - 1960. - 51(2013), 12 vom: 03. Dez., Seite 930-3
1. Verfasser: Chang, Guo-ying (VerfasserIn)
Weitere Verfasser: Chen, Shao-ke, Gu, Xue-fan, Gong, Zhu-wen, Zhang, Qi-gang
Format: Aufsatz
Sprache:Chinese
Veröffentlicht: 2013
Zugriff auf das übergeordnete Werk:Zhonghua er ke za zhi = Chinese journal of pediatrics
Schlagworte:Case Reports English Abstract Journal Article Research Support, Non-U.S. Gov't Insulin-Like Growth Factor Binding Protein 3 Receptors, Somatotropin STAT5 Transcription Factor STAT5B protein, human Human Growth Hormone 12629-01-5 mehr... Insulin-Like Growth Factor I 67763-96-6
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245 1 0 |a Analysis of clinical manifestations and genetic mutations in a child with Laron syndrome 
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500 |a Date Revised 07.06.2016 
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500 |a Citation Status MEDLINE 
520 |a OBJECTIVE: To analyze clinical manifestations and gene mutations in a child with severe short stature, explore its molecular mechanism and further clarify the diagnostic procedure for short stature 
520 |a METHOD: We observed clinical characteristics of a patient with short stature and did diagnostic examinations, assessed the function of GH-IGF-1 axis, and surveyed its family members.Genomic DNA was extracted from peripheral blood, GHR, IGFALS, STAT5b and GH1 gene were amplified by PCR for sequencing, including exons and splicing areas 
520 |a RESULT: The patient presented symmetrical short stature (height -8.2 SDS) and facial features, and other congenital abnormalities.It displayed non-growth hormone deficiency. The baseline value of GH was 21 µg/L, and the peak was 57.9 µg/L. The value of IGF-1 was less than 25 µg/L, and the IGFBP-3 less than 50 µg/L. And IGF-1 generation test showed no response. There was no similar patients in the family members.Sequencing of GHR in the patient revealed a homozygous point mutation (c.Ivs6+1G>A), and her father and mother had the same heterozygous mutation. The same mutation was not identified for her sister.No other candidate gene was found 
520 |a CONCLUSION: As the result of combined clinical characteristics and lab examinations, as well as gene detection, the case was diagnosed with Laron syndrome and GHR gene mutation is the molecular mechanism.We should explicit the etiological diagnosis for short stature, and avoid missed diagnosis and misdiagnosis 
650 4 |a Case Reports 
650 4 |a English Abstract 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
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650 7 |a Receptors, Somatotropin  |2 NLM 
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650 7 |a Human Growth Hormone  |2 NLM 
650 7 |a 12629-01-5  |2 NLM 
650 7 |a Insulin-Like Growth Factor I  |2 NLM 
650 7 |a 67763-96-6  |2 NLM 
700 1 |a Chen, Shao-ke  |e verfasserin  |4 aut 
700 1 |a Gu, Xue-fan  |e verfasserin  |4 aut 
700 1 |a Gong, Zhu-wen  |e verfasserin  |4 aut 
700 1 |a Zhang, Qi-gang  |e verfasserin  |4 aut 
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