PHOX2B mutation-confirmed congenital central hypoventilation syndrome -: Presentation in adulthood

被引:86
作者
Antic, Nick A.
Mallow, Beth A.
Lange, Neale
McEvoy, R. Doug
Olson, Amy L.
Turkington, Peter
Windisch, Wolfram
Samuels, Martin
Stevens, Cathy A.
Berry-Kravis, Elizabeth M.
Weese-Mayer, Debra E. [5 ]
机构
[1] Repatriat Gen Hosp, Adelaide Inst Sleep Hlth, Daw Pk, SA, Australia
[2] Vanderbilt Univ, Med Ctr, Dept Neurol, Sleep Disorders Div, Nashville, TN USA
[3] TC Thompson Childrens Hosp, Dept Pediat, Chattanooga, TN USA
[4] Univ Colorado, Hlth Sci Ctr, Div Pulm Sci & Crit Care Med, Denver, CO 80202 USA
[5] Rush Univ, Med Ctr, Dept Pediat, Div Pediat Resp Med, Chicago, IL 60612 USA
[6] Rush Univ, Med Ctr, Dept Pediat Neurol & Biochem, Chicago, IL 60612 USA
[7] Salford Royal Hosp, NHS Trust Hope Hosp, Salford, Lancs, England
[8] Univ Hosp N Staffordshire, Stoke On Trent, Staffs, England
[9] Univ Hosp, Dept Resp Med, Freiburg, Germany
关键词
congenital central hypoventilation syndrome; PHOX2B gene;
D O I
10.1164/rccm.200605-607CR
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Congenital central hypoventilation syndrome (CCHS) typically presents in the newborn period. A case series of five adults is presented, each heterozygous for a documented polyalanine expansion mutation in the PHOX2B gene and evidence of nocturnal alveolar hypoventilation. All cases had symptoms in childhood, but survived to adulthood without ventilatory support. After identification of physiologic compromise, artificial ventilation was initiated. These adults have the mildest of the CCHS-related PHOX2B polyalanine expansion mutations, coding for only five extra alanines; three of the adults have affected offspring. Report of these cases should lead to a more rapid identification of CCHS presenting in adulthood.
引用
收藏
页码:923 / 927
页数:5
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