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Kleefstra syndrome combined with vesicoureteral reflux and rectourethral fistulae: a case report and literature review

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초록

Kleefstra syndrome is a rare genetic disease characterized by mental retardation, hypotonia, and a characteristic facial appearance. Furthermore, in some cases, Kleefstra syndrome is associated with various anorectal and genitourinary complications, including imperforated anus, vesicoureteral reflux, hydronephrosis, and chronic kidney disease. Herein, we present a case of Kleefstra syndrome with recurrent urinary tract infections associated with vesicoureteral reflux and rectourethral fistula, which was treated by a multidisciplinary approach.

Abstract

Kleefstra syndrome is a rare genetic disease characterized by mental retardation, hypotonia, and a characteristic facial appearance. Furthermore, in some cases, Kleefstra syndrome is associated with various anorectal and genitourinary complications, including imperforated anus, vesicoureteral reflux, hydronephrosis, and chronic kidney disease. Herein, we present a case of Kleefstra syndrome with recurrent urinary tract infections associated with vesicoureteral reflux and rectourethral fistula, which was treated by a multidisciplinary approach.

참고문헌 (7)

  1. Kleefstra T, "Further clinical and molecular delineation of the 9q subtelomeric deletion syndrome supports a major contribution of EHMT1 haploinsufficiency to the core phenotype", J Med Genet, 46, pp.598~606 (2009)
  2. Stewart DR, "The chromosome 9q subtelomere deletion syndrome", Am J Med Genet C Semin Med Genet, 145C, pp.383~389 (2007)
  3. 변정혜, "Application of Array-Based Comparative Genomic Hybridization to Pediatric Neurologic Diseases", Yonsei Medical Journal, 55(1), pp.30~36 (2014), 연세대학교의과대학
  4. Lee J, "Genomic analysis of Korean patient with microcephaly", Front Genet, 11, pp.543528~ (2021)
  5. 이진숙, "Chromosomal Microarray With Clinical Diagnostic Utility in Children With Developmental Delay or Intellectual Disability", Annals of Laboratory Medicine, 38(5), pp.473~480 (2018), 대한진단검사의학회[DOI]
  6. Sanchez S, "Vesicoureteral reflux and febrile urinary tract infections in anorectal malformations : a retrospective review", J Pediatr Surg, 49, pp.91~94 (2014)
  7. van der Steeg HJ, "Outcome in anorectal malformation type rectovesical fistula : a nationwide cohort study in The Netherlands", J Pediatr Surg, 51, pp.1229~1233 (2016)

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