RESUMEN
Turner syndrome (TS) is a common multiple congenital anomaly syndrome resulting from complete or partial absence of the second X chromosome. In this study, we explore the phenotype of TS in diverse populations using clinical examination and facial analysis technology. Clinical data from 78 individuals and images from 108 individuals with TS from 19 different countries were analyzed. Individuals were grouped into categories of African descent (African), Asian, Latin American, Caucasian (European descent), and Middle Eastern. The most common phenotype features across all population groups were short stature (86%), cubitus valgus (76%), and low posterior hairline 70%. Two facial analysis technology experiments were conducted: TS versus general population and TS versus Noonan syndrome. Across all ethnicities, facial analysis was accurate in diagnosing TS from frontal facial images as measured by the area under the curve (AUC). An AUC of 0.903 (p < .001) was found for TS versus general population controls and 0.925 (p < .001) for TS versus individuals with Noonan syndrome. In summary, we present consistent clinical findings from global populations with TS and additionally demonstrate that facial analysis technology can accurately distinguish TS from the general population and Noonan syndrome.
Asunto(s)
Anomalías Múltiples/epidemiología , Cara/anomalías , Síndrome de Noonan/epidemiología , Síndrome de Turner/epidemiología , Anomalías Múltiples/diagnóstico , Anomalías Múltiples/genética , Anomalías Múltiples/fisiopatología , Adolescente , Adulto , Pueblo Asiatico/genética , Niño , Preescolar , Cromosomas Humanos X/genética , Cara/patología , Reconocimiento Facial , Femenino , Hispánicos o Latinos/genética , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Síndrome de Noonan/diagnóstico , Síndrome de Noonan/genética , Síndrome de Noonan/fisiopatología , Fenotipo , Vigilancia de la Población , Síndrome de Turner/diagnóstico , Síndrome de Turner/genética , Síndrome de Turner/fisiopatología , Población Blanca/genética , Adulto JovenRESUMEN
Williams-Beuren syndrome (WBS) is a common microdeletion syndrome characterized by a 1.5Mb deletion in 7q11.23. The phenotype of WBS has been well described in populations of European descent with not as much attention given to other ethnicities. In this study, individuals with WBS from diverse populations were assessed clinically and by facial analysis technology. Clinical data and images from 137 individuals with WBS were found in 19 countries with an average age of 11 years and female gender of 45%. The most common clinical phenotype elements were periorbital fullness and intellectual disability which were present in greater than 90% of our cohort. Additionally, 75% or greater of all individuals with WBS had malar flattening, long philtrum, wide mouth, and small jaw. Using facial analysis technology, we compared 286 Asian, African, Caucasian, and Latin American individuals with WBS with 286 gender and age matched controls and found that the accuracy to discriminate between WBS and controls was 0.90 when the entire cohort was evaluated concurrently. The test accuracy of the facial recognition technology increased significantly when the cohort was analyzed by specific ethnic population (P-value < 0.001 for all comparisons), with accuracies for Caucasian, African, Asian, and Latin American groups of 0.92, 0.96, 0.92, and 0.93, respectively. In summary, we present consistent clinical findings from global populations with WBS and demonstrate how facial analysis technology can support clinicians in making accurate WBS diagnoses.
Asunto(s)
Variación Biológica Poblacional , Heterogeneidad Genética , Síndrome de Williams/diagnóstico , Síndrome de Williams/genética , Antropometría/métodos , Facies , Humanos , Fenotipo , Grupos de Población , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Síndrome de Williams/epidemiologíaRESUMEN
RESUMEN La sirenomelia constituye una anomalía congénita rara. Su incidencia es de 1:60.000 nacidos vivos. Es causada por un defecto vascular disruptivo y caracterizado por la fusión de las extremidades inferiores, asociados a anomalías cardiacas, renales, de pared abdominal y torácica, vértebras inferiores, tubo digestivo inferiores, genitales y de las arterias umbilicales. Se presenta la experiencia de un caso de sirenomelia que se ha podido diagnosticar con la ecografia prenatal.
ABSTRACT Sirenomelia is a very rare congenic anomaly. Being its incidence of approximately 1:60.000 live born, caused by a vascular disruptive defect, characterized by the fusion of lower limbs, associated to cardiac, renal, abdominal wall, and thoracic anomalies; also characterized by inferior vertebrae, inferior digestive tract, genital and umbilical artery anomalies A case of sirenomelia has been diagnosed thanks to prenatal echography.
Asunto(s)
Humanos , Femenino , Embarazo , Recién Nacido , Deformidades Congénitas de las Extremidades Inferiores , Ectromelia/diagnóstico por imagen , Tibia/anomalías , Anomalías Congénitas/diagnóstico por imagen , Ultrasonografía Prenatal , Fémur/anomalías , Peroné/anomalías , Vértebras Lumbares/anomalíasRESUMEN
Niña de 7 años de edad, que consulta por dismorfias faciales y alteraciones del lenguaje, además de otras características clínicas compatibles con el síndrome de Kabuki. Se realizaron los estudios cromosómicos con técnicas de coloración convencional y de identificación con Bandas G y C, que revelaron una delección del brazo corto de uno de los cromosomas de par 18. El cariotipo de la niña resultó 46,XX, del 18 (p11.1&pter), con lo que se confirmó en la misma el síndrome de 18p. El cariotipo de los padres fue normal.Se destaca la importancia del estudio cromosómico en pacientes con características clínicas compatibles con síndromes génicos conocidos, asimismo se compara el fenotipo observado en la paciente con los reportados para el síndrome de Kabuki