[CHARGE syndrome in a neonate].

Zhongguo Dang Dai Er Ke Za Zhi

Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou 510623, China.

Published: November 2024

AI Article Synopsis

  • * Despite treatment efforts including ventilator support and surgery, her condition did not improve, leading to genetic testing which revealed a mutation linked to CHARGE syndrome.
  • * Ultimately, the family chose to stop treatment due to the infant's poor prognosis, highlighting the importance of early diagnosis and informed decision-making in complex genetic disorders.

Article Abstract

A female infant, aged 11 days, was admitted due to dyspnea for 11 days after birth, with the main clinical manifestations of inspiratory dyspnea, feeding difficulties, and unusual facies (micrognathia, high palatal arch, cleft palate, glossoptosis, and oblique mouth to the right), and the preliminary diagnosis was Pierre-Robin syndrome. There was no marked improvement after treatment such as ventilator-assisted ventilation, nutrition, and surgical ligation of patent ductus arteriosus. Whole-exome sequencing of the family showed a heterozygous mutation of c.3082A>G (p.Ile1028 Val) in the gene, which was a pathogenic mutation of CHARGE syndrome. The neonate was ultimately diagnosed with CHARGE syndrome, and the family decided to withdraw treatment due to concerns about poor prognosis. This article reports a case of CHARGE syndrome caused by a mutation in the gene and the multidisciplinary diagnosis and treatment of this disease, in order to provide help for early disease identification and guide clinical decision-making.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11601103PMC
http://dx.doi.org/10.7499/j.issn.1008-8830.2406105DOI Listing

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