A Neonate With MuSK Congenital Myasthenic Syndrome Presenting With Refractory Respiratory Failure
Autor: | Yanhua Shen, Bo Wang, Xia Zheng, Wenwen Zhang, Hailan Wu, Mingyan Hei |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Case Report Gene mutation medicine.disease_cause Gastroenterology Pediatrics Internal medicine medicine Missense mutation Receptor Tyrosine Kinase Gene Mutation Chinese business.industry lcsh:RJ1-570 respiratory failure lcsh:Pediatrics Congenital myasthenic syndrome medicine.disease MUSK gene Neostigmine Respiratory failure congenital myasthenic syndrome Pediatrics Perinatology and Child Health Pyridostigmine Bromide neonate business medicine.drug |
Zdroj: | Frontiers in Pediatrics Frontiers in Pediatrics, Vol 8 (2020) |
ISSN: | 2296-2360 |
Popis: | This was a Chinese neonatal congenital myasthenic syndromes case caused by muscle skeletal receptor tyrosine kinase gene mutations, which have not been recorded in the Human Gene Mutation Database. The newborn girl had refractory respiratory failure from birth to death, and failed extubation seven times. She had two heterozygous mutations: a non-sense mutation c.2062C>T (p.Q688X) inherited from father and a missense mutation c.2324T>C (p.F775S) inherited from mother, which was predicted pathogenic and harmful by bioinformatic softwares SIFT, PolyPhen_2 and REVEL. She positively responded to Neostigmine, but her parent quitted treatment when Pyridostigmine Bromide (2 mg/kg Q12 h) had been given for 8 days. She died 2 days after she was taken home by her parents on age of 56 days. |
Databáze: | OpenAIRE |
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