Орфанное заболевание – FRASER синдром (ORPHA:2052) у детей: характеристика фенотипа и генотипа
https://doi.org/10.36485/1561-6274-2021-25-3-28-35
Аннотация
Fraser синдром (OMIM#219000; ORPHA:2052; МКБ-10: Q87.0) – орфанное заболевание с аутосомно-рецессивным типом наследования, характеризуется аномалиями развития глаз, почек, гортани, ушей, костной системы (криптофтальмом, синдактилией, аномалиями почек, урогенитального тракта, респираторной системы).В статье представлены современные данные литературы о фенотипических и генотипических особенностях Fraser синдрома, ведения пациентов с новыми возможностями генетической диагностики и лечения. Синдром, описанный D. Fraser в 1962 году, обусловлен мутациями в генах FRAS1, FREM2и GRIP.Диагноз фенотипа Fraser синдрома устанавливают при наличии основных критериев (криптофтальм, синдактилия, аномалии органов мочевой и дыхательной системы, гениталий, семейный анамнез, указывающий на близкородственный брак) и второстепенных (врожденные пороки развития носа и ушей, дефекты окостенения черепа, аноректальные аномалии, пупочная грыжа и др.).Молекулярно-генетическое исследование доказывает редкое заболевание, требует генетического консультирования. Ведение пациентов осуществляется совместно с офтальмологом, отоларингологом, сурдологом, нефрологом, урологом, челюстно-лицевым хирургом и другими специалистами.
Ключевые слова
Об авторах
Ж. Г. ЛевиашвилиРоссия
Левиашвили Жанна Гавриловна, д-р мед. наук , проф., кафедра факультетской педиатрии
194100, Санкт-Петербург, ул. Литовская, д. 2.
Тел.: (812) 416-52-86
Н. Д. Савенкова
Россия
Савенкова Надежда Дмитриевна, д-р мед. наук, проф., зав. кафедрой факультетской педиатрии
194100, Санкт-Петербург, ул. Литовская, д. 2.
Тел.: (812) 416-52-86
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Рецензия
Для цитирования:
Левиашвили Ж.Г., Савенкова Н.Д. Орфанное заболевание – FRASER синдром (ORPHA:2052) у детей: характеристика фенотипа и генотипа. Нефрология. 2021;25(3):28-35. https://doi.org/10.36485/1561-6274-2021-25-3-28-35
For citation:
Leviashvili J.G., Savenkova N.D. Orpha disease – FRASER syndrome (ORPHA:2052) in children: phenotype and genotype characteristics. Nephrology (Saint-Petersburg). 2021;25(3):28-35. (In Russ.) https://doi.org/10.36485/1561-6274-2021-25-3-28-35