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/.idea/ | ||
/data/ | ||
/prompts/ | ||
/fenominal-mined.txt |
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[source] | ||
pmid = PMID:15673476 | ||
title = A novel heterozygous missense mutation in the UMOD gene responsible for Familial Juvenile Hyperuricemic Nephropathy | ||
[diagnosis] | ||
disease_id = OMIM:162000 | ||
disease_label = Tubulointerstitial kidney disease, autosomal dominant, 1 | ||
[text] | ||
The proband is an affected female who was first evaluated at the age of 24, when she presented with a gout attack and hyperuricemia. | ||
At age 27 she was told having renal failure. However, a renal biopsy was not performed. | ||
At age 44, serum creatinine was 2.8 mg/dl and ultrasound imaging detected numerous renal cysts. | ||
Renal disease slowly progressed and the patient reached ESRD when she was 49 years old. | ||
Her father died at the age of 55 from ESRD and suffered from hyperuricemia and gout. | ||
The proband's only son is also affected. At the age of 18 years he had a gout attack. | ||
On the initial evaluation, serum uric acid was 15 mg/dl and serum creatinine 1.6 mg/dl. | ||
Renal cysts were also detected on ultrasound examination. |
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[source] | ||
pmid = PMID:16962354 | ||
title = Functional analysis of mutations in TGIF associated with holoprosencephaly | ||
[diagnosis] | ||
disease_id = OMIM:142946 | ||
disease_label = Holoprosencephaly 4 | ||
[text] | ||
A male proband presenting with lobar holoprosencephaly, atypical ventricles with small frontal horns, | ||
hypothalamic and caudate fusion, diabetes insipidus, seizures, | ||
premaxillary agenesis, microcephaly, absent nasal root and septum with a | ||
depressed nasal tip (Fig. 1A and B). |
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[source] | ||
pmid = PMID:17661815 | ||
title = Familial CHARGE syndrome because of CHD7 mutation: clinical intra- and interfamilial variability | ||
[diagnosis] | ||
disease_id = OMIM:214800 | ||
disease_label = CHARGE syndrome | ||
[text] | ||
Patient A III-2 is the second boy of non-consanguineous French parents, respectively, aged 30 and 29 years, at the time of conception. | ||
The pregnancy was characterized by polyhydramnios from the 26th week of gestation. | ||
Delivery took place after 38 weeks by caesarean section with normal birth weight (BW) (3025 g, 50th centile), birth length (BL) | ||
(48 cm, 25th centile) and head circumference (OFC) (34.5 cm, 50th centile). MCA noted at birth included esophageal atresia with tracheoesophageal fistula, | ||
bilateral cleft lip and palate, large ventricular septal defect, dextroposition of aorta, atresia of the brachiocephalic trunk, | ||
malacia of the right main bronchus, costovertebral abnormalities (bifid fourth dorsal vertebrae, duplication of the fourth right rib, | ||
and spina bifida occulta from the seventh to the ninth dorsal vertebrae) and left cryptorchidism. | ||
Axial control acquisition was delayed as he sat at the age of 11 months, walked at 22 months. | ||
Balance problems persisted for several years. Recurrent otitis media, responsible for conductive hearing loss, | ||
required bilateral tympanostomy tubes. First words were delayed till 30 months. Learning disabilities and writing difficulties | ||
were confirmed when he was 8 year. When referred to the genetic department at the age of 15 years, | ||
he was 151 cm tall (−2 SD ), weighted 40 kg (−2 SD), and had an OFC of 52 cm (−2 SD). | ||
At that time, he had a long face with prominent chin, small mouth, high nasal bridge and triangular shape of right concha | ||
(Fig. 1). He had postural instability. Vestibular testing showed absence of response on canal function test with residual otolith | ||
function and residual left vestibulospinal responses on vestibular evoked myogenic potential test. | ||
Magnetic resonance imaging (MRI) examination showed hypoplastic superior and lateral semicircular canals (SCC) in the right ear | ||
and aplastic superior and hypoplastic lateral SCC in the left ear (Fig. 2). The vestibulae and the cochleae were normal. | ||
Facial and vestibulo-cochlear nerves were present on both sides. Brain MRI revealed a hypoplastic internal left carotid artery. | ||
There was no evidence for arhinencephaly. He had mild convergent strabismus, discrete myopia and posterior embryotoxon. | ||
Funduscopic examination revealed hypoplastic papillae. Using WISC IV scale at age 15 years his verbal conceptual index (VCI) was 78, | ||
perceptual reasoning index (PRI) 58, working memory index (WMI) 62 and processing speed index (PSI) 81. | ||
[text] | ||
Patient B III-1 is the first child from healthy unrelated Caucasian parents. Mother and father were both 26 years old at time of conception. | ||
Cerebral ventricular dilatation was suspected on pre-natal ultrasound but not confirmed by fetal cerebral MRI. | ||
Fetal karyotype was normal (46, XY). Premature labor occurred and delivery took place at a gestational age of 35 weeks. | ||
BW was 2050 g (third centile); BL 46.5 cm (50th centile) and OFC 34 cm (90th centile). He had cup-shaped ears with missing earlobes, | ||
right facial palsy, bifid uvula and mild retrognathism (Fig. 4) with associated cryptorchidism and global hypotonia. | ||
Swallowing difficulties with poor feeding were noted. Laryngoscopy revealed left vocal cord palsy. | ||
An atrial septal defect was diagnosed by echocardiography. Fundoscopy showed right retinal coloboma. | ||
Brainstem electric response audiometry identified a sensorineural deafness, visual evoked potentials were in the normal range. | ||
Metabolic work-up did not show any anomaly. This boy died on day 19 after refractory convulsive episodes starting on day 4. | ||
Encephalopathy and hydrocephaly were subsequently noted, as post-natal cerebral MRI (day 7) showed quadriventricular enlargement | ||
because of bloody effusion in occipital horns without any underlying vascular malformation. On autopsy, | ||
brain external examination revealed the absence of olfactory bulbs with a thin corpus callosum. | ||
On microscopic exam, cranial nerve roots were normal. Deep cerebellar heterotopia was present. | ||
Complete macroscopic and microscopic examinations were otherwise normal except for the presence of testis in the inguinal canals. |
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[source] | ||
pmid = PMID:19208399 | ||
title = A novel mutation in the VCP gene (G157R) in a German family with inclusion-body myopathy with Paget disease of bone and frontotemporal dementia | ||
[diagnosis] | ||
disease_id = OMIM:167320 | ||
disease_label = Inclusion body myopathy with early-onset Paget disease and frontotemporal dementia 1 | ||
[text] | ||
Patient II-3. At the age of 41 years, the | ||
male index patient developed slowly progressive symmetric muscle weakness, which started in the proximal upper limb muscles | ||
but is now most pronounced in the proximal leg muscles. Three years | ||
after onset he noticed increasing hearing impairment and bone pain. Elevated plasma levels of the | ||
bone-specific alkaline phosphatase isoenzyme (168 g/L, normal 8 –17) in combination with typical | ||
changes on a 99mTc total body bone scan suggested | ||
a diagnosis of PDB. Biphosphonate treatment was | ||
initiated and led to improvement of bone pain and a | ||
marked reduction of alkaline phosphatase. | ||
The muscle weakness, however, continued to increase, and | ||
eventually the patient became unable to walk more | ||
than 30 meters unaided. On examination, there was | ||
proximal weakness and atrophy of the limb muscles | ||
with bilateral scapular winging and a positive Trendelenburg sign. He had a waddling gait and required | ||
the support of two crutches. The patient’s wife had | ||
recently noticed an impaired capability of her husband to recognize faces of persons known to him. In | ||
addition, he had become apathetic and had lost | ||
interest in previous hobbies. Plasma creatine kinase | ||
(CK) levels were mildly elevated. Nerve conduction | ||
studies were normal, but electromyographic studies | ||
showed moderate myopathic changes with fibrillation potentials and polyphasic small-amplitude, | ||
short-duration motor unit potentials. Neuropsychological evaluation (DemTect, frontal assessment battery) | ||
did not show significant cognitive impairment. Audiometry revealed moderate left-sided | ||
perceptive deafness of 50 dB HL. Cranial magnetic | ||
resonance imaging (MRI) showed bony changes typical of Paget disease, but no evidence of auditory | ||
nerve compression due to Paget disease. Intracranial | ||
findings were normal without signs of frontal lobe | ||
atrophy. A muscle biopsy from the quadriceps muscle revealed moderate histopathological changes | ||
consisting of angulated and atrophic fibers with a | ||
few inclusion bodies, but no rimmed vacuoles. The | ||
inclusions were ubiquitin-positive, but they were negative for beta-amyloid. Ubiquitin-positive inclusions | ||
could also be demonstrated in the nucleus of myocytes, endothelial cells, and fibroblasts. |
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[source] | ||
pmid = PMID:20149460 | ||
title = A novel mutation in the signal transducer and activator of transcription 3 (STAT3) gene, in hyper-IgE syndrome | ||
[diagnosis] | ||
disease_id = OMIM:147060 | ||
disease_label = Hyper-IgE syndrome 1, autosomal dominant, with recurrent infections | ||
[text] | ||
A 12-year-old Greek girl was admitted because of fever, and cough for a week. Her parents were not consanguineous. | ||
She had no remarkable perinatal problems and had been vaccinated as scheduled. She had a history of atopic dermatitis since 6 months of age. | ||
Past medical history also revealed recurrent infections, including multiple episodes of skin abscesses and pneumonia. | ||
She had a history of two hospitalizations for pneumonia with cyst formation in the right lung and numerous visits at the | ||
clinic for the treatment of skin abscesses caused by Staphyloccocus aureus. Family history revealed no members with relevant allergic or immunologic diseases. | ||
On physical examination, her height was 118 cm (under the 5th percentile), and her weight was 25.8 kg (under the 5th percentile). | ||
She had coarse facial features with facial asymmetry, and prominent forehead. She was also diagnosed with scoliosis with maximal curvature of 14°. | ||
Complete blood cell counts demonstrated a high total eosinophil count (max 4000 cells/μl). | ||
The serum IgE level was increased at 74.000 IU/ml. All other laboratory data examined, such as serum immunoglobulin level, | ||
the oxidative burst of granulocytes and complement components, were normal with the exception of slightly increased IgD titer (300 mg/l). | ||
Lymphocyte subset analyses revealed normal levels of both CD4+ and CD8+ T cells (883 and 850 cells/μl, respectively). |
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[source] | ||
pmid = PMID:20932317 | ||
title = Frameshift mutation hotspot identified in Smith-Magenis syndrome: case report and review of literature | ||
[diagnosis] | ||
disease_id = OMIM:182290 | ||
disease_label = Smith-Magenis syndrome | ||
[text] | ||
Case 1 | ||
SMS324 is an 18-year-old male who was delivered at 38 weeks gestation following premature labor and antepartum haemorrhage. | ||
His birth weight was 2,750 g (10th-50th centile). While his neonatal period was complicated by gastroesophageal reflux | ||
and failure to thrive, he was admitted to the hospital at 1 year of age for being considerably overweight, with fat folds | ||
on his arms and legs. He spoke his first words at 6 months and walked at 12 months. His medical history includes two | ||
episodes of severe asthma, petit mal seizures between the ages of 5-10 y and three spontaneous pneumothoraces (SP). | ||
He had a square shaped face, upslanting palpebral fissures, down turned mouth, inverted upper lip, and synophrys (Fig. 1A). | ||
Other physical anomalies included brachydactyly, bilateral fifth finger clinodactyly with | ||
a small middle phalanx of his fifth fingers, and pes planus. At 16 years of age, height was 163 cm (< 3rd centile), | ||
head circumference was 54 cm, and he presented with relative truncal obesity. | ||
Behaviorally, SMS324 exhibited head-banging and rage attacks starting at age 3. | ||
At age 16, he continues to have recurrent episodes of rage attacks, anxiety, and obsessional behavior. | ||
He has never slept through the night, with recurrent 3 a.m. wakenings. | ||
Apart from finger chewing, he exhibits no self-injurious behaviors, self hugging, onychotillomania or polyembolokomania. | ||
He has had a persistent history of sleep disturbance. | ||
A formal developmental assessment indicated a mild global developmental delay. | ||
He was initially diagnosed with attention deficit disorder; | ||
however, a later assessment indicated this diagnosis was incorrect. | ||
He was initially mainstreamed in a regular classroom at school but at age 16 now functions in an OI classroom with supervision. |
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