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A Case of CATCH22 Syndrome Diagnosed in Postmenopausal Woman

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초록

CATCH 22 Syndrome is caused by chromosome 22q11.2 microdeletion, characterized by developmental abnormalities of the third and fourth pharyngeal pouches. It has a prev-alence estimated at 1:3,000-1:9,000. Most deletions occurs sporadic, but autosomal dominant inheritance observed in 6-10% of cases. CATCH22 often diagnosed due to hy-pocalcemia during neonatal period or decreased immunity or facial defect, so it is very rare being diagnosed CATCH22 in adulthood. We report a 57 year old female who re-ferred to mental change due to hypocalcemia and is diagnosed CATCH22. She was pre-sented with hypoparathyroidism, single kidney due to renal agenesis, and mild facial defect. Our patient responded well to calcium and vitamin D treatment and she is on follow-up in outpatient clinic.

Abstract

CATCH 22 Syndrome is caused by chromosome 22q11.2 microdeletion, characterized by developmental abnormalities of the third and fourth pharyngeal pouches. It has a prev-alence estimated at 1:3,000-1:9,000. Most deletions occurs sporadic, but autosomal dominant inheritance observed in 6-10% of cases. CATCH22 often diagnosed due to hy-pocalcemia during neonatal period or decreased immunity or facial defect, so it is very rare being diagnosed CATCH22 in adulthood. We report a 57 year old female who re-ferred to mental change due to hypocalcemia and is diagnosed CATCH22. She was pre-sented with hypoparathyroidism, single kidney due to renal agenesis, and mild facial defect. Our patient responded well to calcium and vitamin D treatment and she is on follow-up in outpatient clinic.

참고문헌 (9)

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  3. Jung SM, "A case of DiGeorge syndrome associated with complex cardiovascular anomalies", Korean J Med, 53, pp.714~719 (1997)
  4. Kim DJ, "DiGeorge syndrome diagnosed by hypocalcemic tetany", Korean J Med, 70, pp.S299~S301 (2006)
  5. 이민정, "정상 부갑상선기능을 보인 CATCH22 증후군 1예", Endocrinology and Metabolism, 27(2), pp.151~154 (2012), 대한내분비학회
  6. McDonald-McGinn DM, "The Philadelphia story: the 22q11.2 deletion: report on 250 patients", Genet Couns, 10, pp.11~24 (1999)
  7. Ryan AK, "Spectrum of clinical features associated with interstitial chromosome 22q11 deletions: a European collaborative study", J Med Genet, 34, pp.798~804 (1997)
  8. Perez E, "Chromosome 22q11.2 deletion syndrome (DiGeorge and velocardiofacial syndromes)", Curr Opin Pediatr, 14, pp.678~683 (2002)
  9. Chinen J, "Long-term assessment of T-cell populations in DiGeorge syndrome", J Allergy Clin Immunol, 111, pp.573~579 (2003)

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