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

被引：4

作者：

Parissone, Francesca ^{[1
,4
]}

Pucci, Mairi ^{[2
]}

Meneghelli, Emanuela ^{[2
]}

Zuffardi, Orsetta ^{[3
]}

Di Paola, Rossana ^{[1
]}

Zaffagnini, Stefano ^{[1
]}

Franchi, Massimo ^{[4
]}

Santangelo, Elisabetta ^{[5
]}

Cantalupo, Gaetano ^{[5
]}

Cavarzere, Paolo ^{[6
]}

Antoniazzi, Franco ^{[6
]}

Piacentini, Giorgio ^{[6
]}

Gaudino, Rossella ^{[6
]}

机构：

[1] AOUI Verona, Dept Obstet & Gynaecol, Verona, Italy

[2] Univ Verona, Clin Biochem Sect, Dept Neurol Biomed & Movement Sci, Ple LA Scuro 10, I-37134 Verona, Italy

[3] Univ Pavia, Dept Mol Med, Pavia, Italy

[4] Univ Verona, Dept Surg Sci Dent Gynaecol & Paediat, Div Obstet & Gynaecol, Verona, Italy

[5] Univ Verona, Dept Surg Sci Dent Gynaecol & Paediat, Div Child Neuropsychiat, Verona, Italy

[6] Univ Verona, Dept Surg Sci Dent Gynaecol & Paediat, Div Paediat, Verona, Italy

来源：

INTERNATIONAL JOURNAL OF PEDIATRIC ENDOCRINOLOGY | 2020年 / 2020卷 / 01期

关键词：

Chromosomal rearrangement; Xq duplication syndrome; Diminished ovarian reserve; Fertility preservation; Short stature; Recombinant growth hormone (rGH) therapy; TURNER SYNDROME; DEVELOPMENTAL DELAY; INCLUDING MECP2; CHROMOSOME; INACTIVATION; RETARDATION; PHENOTYPE; FEMALES; PATIENT; ORIGIN;

D O I：

10.1186/s13633-019-0071-z

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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-Mullerian 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.

引用

页数：8

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