Analysis on two misdiagnosis cases of neonatal Prader-Willi syndrome

QIU Qi-zhou,CHENG Gui-hui,CHEN Hong-yu,XIAO Yi,HUANG Ling-yan

Chinese Journal of Child Health Care ›› 2017, Vol. 25 ›› Issue (2) : 177-179.

PDF(462 KB)
PDF(462 KB)
Chinese Journal of Child Health Care ›› 2017, Vol. 25 ›› Issue (2) : 177-179. DOI: 10.11852/zgetbjzz2017-25-02-20

Analysis on two misdiagnosis cases of neonatal Prader-Willi syndrome

  • QIU Qi-zhou,CHENG Gui-hui,CHEN Hong-yu,XIAO Yi,HUANG Ling-yan
Author information +
History +

Abstract

Objective Two misdiagnosis cases with neonatal Prader -Willi syndrome(PWS)were analyzed,in order to early diagnosis and reduce misdiagnosis or missed diagnosis. Methods The clinical manifestation and diagnosis of 2 cases with PWS were analyzed retrospectively from June 2009 to June 2016.The clinical features and misdiagnosis reasons were summarized Results Two cases of PWS described in this study had some features such as decreased fetal movement,hypotonia,poor response,feeding difficulty,less crying and doing,special appearances and cryptorchidism,Testing their chromosome 15 q11.2 belt in the middle part missing with methylation specific multiplex ligation dependent probe amplification (MS-MLPA) Method can diagnose PWS. Conclusion The clinical manifestations of neonatal PWS is not typical.It is easy to result in misdiagnosis or missed diagnosis.Improving cognition of the disease can reduce misdiagnosis.The children with poor muscle tone,feeding difficulties and special features,genetic analysis is needed in time for early diagnosis.   

Key words

newborn / infant / Prade-Willi syndrome / misdiagnosis

Cite this article

Download Citations
QIU Qi-zhou,CHENG Gui-hui,CHEN Hong-yu,XIAO Yi,HUANG Ling-yan. Analysis on two misdiagnosis cases of neonatal Prader-Willi syndrome[J]. Chinese Journal of Child Health Care. 2017, 25(2): 177-179 https://doi.org/10.11852/zgetbjzz2017-25-02-20

References

[1] Cassidy SB,Schwartz S,Miller JL,et al.Prader-Willi syndrome[J].Genet Med,2012,14(1):10-26.
[2] Buffer MG.Prader-Willi syndrome:obesity due to genomic imprinting[J].Curt Genomics,2011,12(3):204-215.
[3] Goldstone AP,Holland AJ,Hanffa BP,et al.Recommendations for the diagnosis and management of Prader-willi syndrome[J].J Clin Endocfinol Metab,2008,93(11):4183-4197.
[4] 王瑞风,许一新,杜宏.儿童Prader-Willi综合征合并NPHPl基因重复变异一例并文献复习[J].中国糖尿病杂志,2016,24(3):271-274.
[5] 冯英,肖农,陈玉霞.Prader-Willi 综合征体温不稳定1 例报告[J],临床儿科杂志,2015,33(4):361-363.
[6] 陈晓春,何玺玉,詹实娜.Prader-Willi综合征临床表型分析[J].发育医学电子杂志,2013,1(1):50-53.
[7] McCandless SE,Committee on Genetics.Clinical report-health supervision for children with Prader-Willi syndrome[J].Pediatrics,2011,127(1):195-204.
[8] Assidy SB,Schwartz S,Miller JL,et a1.Prader-Willi syndrome[J].Genet Med,2012,14(1):10-26.
[9] Buffer MG.Prader-Willi syndrome:obesity due to genomic imprinting[J].Curt Genomics,2011,12(3):204-215.
[10] Emefick JE,Vogt KS.Endocrine manifestations and Management of Prader-Willi syndrome[J].Int J Pediatr Endocrinol,2013,2013(1):14.
[11] 中华医学会儿科学分会内分泌遗传代谢学组,《中华儿科杂志》编辑委员会.中国Prader-Willi综合征诊治专家共识(2015) [J].中华儿科杂志,2015,53(6):419-424.
[12] 李海霞,刘克战,丁子俊.新生儿Prader-Willi综合征1例报告[J].山西医科大学学报,2015,46(11):1161-1162.
[13] 闰果林,何玺玉.新生儿Prader-Willi综合征一例[J].中华儿科杂志,2014,52(1):57-58.
[14] 李洋洋,姜毅,侯新琳,等.Prader-Willi综合征三例报道暨文献复习[J].中国新生儿科杂志,2015,30(5):352-354.
[15] Zhang C,Yinet A,Li H,et al.Dietary modulation of gut microbiota contributes to alleviation of both genetic and simple obesity in children[J].Ebio Medicine,2015,2:968-984.
[16] Holm VA,Cassidy SB,Butler MG,et a1.Prader-Willi syndrome:consensus diagnosiscriteria[J].Pediatrics,1993,91(2):398-402.
[17] 唐军,谷献芳,马友凤.新生儿Prader-Willi综合征误诊分析[J].中国现代药物应用杂志,2014,8(14):11-12.
[18] 罗飞宏,罗小平.从我国Prader-Willi综合征现状谈遗传病临床诊治的未来发展方向[J].中华儿科杂志,2015,53(6):409-411.
[19] 梅枚,杨琳,樊子川.Prader-Willi综合征Ⅰ型和Ⅱ型缺失新生儿表型分析[J].中国循证儿科杂志,2013,8(4):286-289.
PDF(462 KB)

Accesses

Citation

Detail

Sections
Recommended

/