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2017, Number 1

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Universidad Médica Pinareña 2017; 13 (1)

Smith-Lemli-Opitz Syndrome: a case report

Sánchez OA, Toledo LM, Orraca CM
Full text How to cite this article

Language: Spanish
References: 11
Page: 86-91
PDF size: 408.62 Kb.


Key words:

cholesterol/metabolism, Smith-Lemli-Opitz, 7-dehidrocolesterol reductasa.

ABSTRACT

Introduction: Smith-Lemli-Opitz Syndrome is the most frequent of the congenital errors of cholesterol metabolism. It is a rare disease of low prevalence, its early diagnosis is essential to guarantee the quality of life.
Case report: a 10-year old child living in Pinar del Rio province, attending Clinical Genetics Office was referred from the municipal service for presenting dysmorphic signs and delayed psychomotor development. He is diagnosed with Smith-Lemli-Opitz syndrome. Biochemical and molecular studies are described, as well as the follow-up protocol of the disease.
Conclusion: it is important to discern the Smith-Lemli-Opitz syndrome to set up an early diagnosis that leads to a better quality of life and to avoid the sequelae that this disease can provoke.


REFERENCES

  1. Martos Silvan C. Síndrome de Smith-Lemli-Opitz: Síntomas, Causas y Tratamiento [Internet] 2017 [Citado Enero 2017]. Disponible en: http://www.lifeder.com/sindrome-smith-lemli-opitz/

  2. Jiménez Ramírez A, Valdivia Alfaro R, Hernández González L, León Corrales L, Machín Valero Y, Torrecilla, L. Síndrome de Smith Lemli Opitz. Presentación de un caso con diagnóstico bioquímico. Gaceta Médica Espirituana [Internet] 2001 [Citado en Enero de 2017]; 3(3): [Aprox. 4p.].Disponible en: http://bvs.sld.cu/revistas/gme/pub/vol.3.(3)_06/p6.html

  3. Kelley RI, Kratz L. Cholesterol synthesis disorders. In: Physician´s guide to the diagnosis, treatment and follow-up of inherited metabolic diseases, [Internet]. 2014. [Citado en Enero de 2017]; [Aprox. 15p.].Disponible en: https://link.springer.com/content/pdf/10.1007%2F978-3-642-40337-8_36.pdf

  4. Tint GS, Irons M, Elias ER, Batha AK, Frieden R et al. Defective cholesterol biosynthesis associated with the Smith-Lemli-Opitz syndrome. N Engl J Med. [Internet]. (1994). [Citado en Enero de 2017]; 330: [Aprox. 6p.]. Disponible en: http://www.nejm.org/doi/full/10.1056/NEJM199401133300205#Top=&t=articleTop

  5. 7-DEHYDROCHOLESTEROL REDUCTASE; DHCR7. OMIM#602858. On line mendelian inheritance in man [Internet] 2017 [Citado Enero 2017].Disponible en: http://www.omim.org/entry/602858

  6. Opitz JM, Furtado LV. The RSH/“Smith Lemli Opitz” syndrome: Historical footnote. Am J Med Genet. [Internet]. 2012. [Citado en Enero de 2017]; 160C(4): 242:249 [Aprox. 7p.]. Disponible en:http://onlinelibrary.wiley.com/doi/10.1002/ajmg.c.31341/full

  7. Nowaczyk MJM, Irons M. Smith Lemli Opitz syndrome: phenotype, natural history and epidemiology. Am J Med Genet. [Internet]. 2012. [Citado en Enero de 2017]; 160C(4): 250-262 [Aprox. 7p.]. Disponible en: http://onlinelibrary.wiley.com/doi/10.1002/ajmg.c.31343/full

  8. SMITH-LEMLI-OPITZ SYNDROME; SLOS. OMIM# 270400. On line mendelian inheritance in man: [Internet] 2017 [Citado Enero 2017]. Disponible en: https://www.omim.org/entry/270400

  9. Witsch-Baumgartner, M., &Lanthaler, B. Birthday of a syndrome: 50 years anniversary of Smith–Lemli–Opitz Syndrome. European Journal of Human Genetics. [Internet]. 2014. [Citado en Enero de 2017]; 23(3): 277-8 [Aprox. 2p.]. Disponible en: http://www.nature.com/ejhg/journal/v23/n3/full/ejhg201487a.html

  10. Ellingson MS, Wick MJ, White WM, Raymond KM, Saenger AK et al. Pregnancy in an individual with mild Smith-Lemli-Opitz syndrome. ClinGenet. [Internet]. 2014. [Citado en Enero de 2017]; 85(5): [Aprox. 2p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3883898/

  11. Nowaczyk MJM. Smith-Lemli-Opitz Syndrome. GeneReviews. [Internet] 2013 [Citado en Enero de 2017]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK1143/




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Universidad Médica Pinareña. 2017;13