Publications by authors named "Erika Uehara"

is one of the major causative genes of congenital hypothyroidism (CH). Still, the mutation spectrum and clinical outcomes of biallelic variants are not fully understood. This study aimed to elucidate the molecular features and long-term clinical manifestations of CH caused by multiple pathogenic variants.

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Insufficient thyroid hormone production in newborns is referred to as congenital hypothyroidism. Multinodular goiter (MNG), characterized by an enlarged thyroid gland with multiple nodules, is usually seen in adults and is recognized as a separate disorder from congenital hypothyroidism. Here we performed a linkage analysis of a family with both nongoitrous congenital hypothyroidism and MNG and identified a signal at 15q26.

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Introduction: NK2 homeobox 1 (NKX2-1) encodes a transcription factor, NKX2-1, that is expressed in the thyroid gland, lung, and brain. Dual oxidase 2 (DUOX2) encodes an enzyme which generates hydrogen peroxide and is involved in the thyroid hormone synthesis. Cases of congenital hypothyroidism (CH) with dyshormonogenesis showing two or more genetic variants are increasingly reported.

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Article Synopsis
  • A case of resistance to thyroid hormone (RTH) was diagnosed through newborn screening (NBS), where the patient showed high TSH and free T4 while presenting mainly with tachycardia.
  • Confirmatory tests revealed significantly elevated serum TSH and FT4 levels, along with enlarged thyroid glands, and genetic testing identified multiple variants related to thyroid disorders.
  • The patient displayed normal growth and development at one year old without treatment, illustrating the importance of thorough genetic analysis for understanding atypical thyroid-related conditions.
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  • Unbalanced translocations involving the Y chromosome and either the X chromosome or an autosome can lead to disorders of sex development, particularly affecting males with atypical karyotypes like 46,XX or 45,X.
  • A case study detailed a 20-year-old man with a rare 45,X,t(Y;7) karyotype who presented signs like unilateral cryptorchidism, small testis, and intellectual disabilities.
  • The study suggests that these Y;autosome translocations can occur even with low genetic similarity and may lead to either normal male development or some congenital issues linked to a specific chromosomal deletion syndrome, but their long-term effects on reproductive health need further investigation.
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Persistent Gram-negative rod (GNR) bacteremia is uncommon under appropriate antibiotic therapy. A recent study showed that follow-up blood cultures (FUBCs) to confirm clearance 24-48 h after initiation of antibiotics, added little value in the management of GNR bacteremia in adults. However, the utility of FUBC in children is still unknown.

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Background: Immunoglobulin A (IgA) vasculitis is a common, systemic childhood disease that occasionally interferes with oral intake of food and necessitates hospitalization. In Japan, there are no reports on the length of hospitalization or factors related to long-term hospitalization in children with IgA vasculitis. In this study, we investigated the factors related to long-term hospitalization.

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Severe protein C (PC) deficiency leads to purpura fulminans and stroke in newborns. However, the clinical impact of plasma PC activity on the development of neonatal cerebral disease remains elusive. We report a case of hemorrhagic stroke associated with neonatal asphyxia and severe PC deficiency.

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ADAMs are a disintegrin and metalloproteinase family of membrane-associated metalloproteinases characterized by their multidomain structure, and have been reported to be associated with various malignant tumors. The aim of this study was to identify crucial members of the ADAM family in oral squamous cell carcinoma (OSCC), and to reveal their biological function and clinical significance. To clarify whether ADAM family genes are involved in OSCC, changes in the expression profile were investigated by real-time quantitative reverse transcriptase-polymerase chain reaction (qRT-PCR) analysis and immunohistochemical analysis.

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