A novel de novo partial xq duplication in a girl with short stature, nonverbal learning disability and diminished ovarian reserve - effect of growth hormone treatment and fertility preservation strategies: a case report and up-to-date review

Autor: Rossella Gaudino, Giorgio Piacentini, Franco Antoniazzi, Stefano Zaffagnini, Massimo Franchi, Gaetano Cantalupo, Francesca Parissone, Emanuela Meneghelli, Rossana Di Paola, Paolo Cavarzere, Elisabetta Santangelo, Orsetta Zuffardi, Mairi Pucci
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Pediatric Endocrinology
International Journal of Pediatric Endocrinology, Vol 2020, Iss 1, Pp 1-8 (2020)
ISSN: 1687-9856
1687-9848
Popis: Background Xq duplication is a rare condition with a very variable phenotype, which could mimic other genetic syndromes involving the long arm of chromosome X. Sometimes short stature and diminished ovarian reserve (DOR) may be present. Treatments with rGH (Recombinant growth Hormon) or with fertility preservation strategies have not been previously described. Case presentation We present the case of a female with a novel de novo Xq partial duplication (karyotype: 46,Xder(X)(qter→q21.31::pter→qter) confirmed by array-CGH analysis. She presented with short stature, Nonverbal Learning Disability, developmental delay during childhood, severe scoliosis, spontaneous onset of menarche and irregular menstrual cycles. AMH (Anti-Müllerian Hormone) allowed detection of a preserved but severely diminished ovarian reserve with a POI (Premature Ovarian insufficiency) onset risk. She was effectively subjected to fertility preservation strategies and rGH therapy. We also reviewed other published cases with Xq duplication, reporting the main clinics characteristics and any adopted treatment. Conclusions rGH treatment and cryopreservation in a multidisciplinary approach are good therapeutic strategies for Xq duplication syndrome with short stature and premature ovarian failure.
Databáze: OpenAIRE
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