síndrome de rett: un nuevo reto para los pediatras. revisión bibliográfica
متلازمة ريت: تحدٍ جديد لأطباء الأطفال. مراجعة ببليوغرافية
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Abstract
An updated literature review on Rett syndrome is presented. This neurodegenerative disorder with a characteristic clinical picture only occurs in girls, most of the cases are sporadic and genetically determined. It has been recently found in patients after studying the MECP2 protein that codifies the gene in band 8 of region 2 in the long arm of X chromosome(Xq 28), which suggests a dominant X chromosome-linked dominant de novo mutation. The diagnosis of Rett syndrome is made based on observation and clinical assessment since there are no biochemical or genetic markers facilitating the determination of the syndrome and besides its origin is unknown. The internationally established criteria including necessary, complementary criteria and exclusion elements are used. Rett syndrome should be considered in female patients with infantile cerebral palsy or idiopathic mental retardation, with the support of internationally set criteria.
تُقدَّم مراجعة أدبية محدَّثة حول متلازمة ريت. يصيب هذا الاضطراب التنكسي العصبي ذو المظهر السريري المميز الفتيات فقط، ومعظم الحالات متفرقة ومحددة وراثياً. وقد وُجد مؤخراً لدى المرضى بعد دراسة بروتين MECP2 الذي يشفره الجين في الحزمة 8 من المنطقة 2 على الذراع الطويلة للصبغي X (Xq 28)، مما يشير إلى طفرة جديدة سائدة مرتبطة بالصبغي X. ويعتمد تشخيص متلازمة ريت على الملاحظة والتقييم السريري نظراً لعدم وجود واسمات كيميائية حيوية أو جينية تسهل تحديد المتلازمة، فضلاً عن أن منشأها مجهول. وتُستخدم المعايير المقرة دولياً والتي تتضمن معايير ضرورية وتكميلية وعناصر استبعاد. ينبغي أخذ متلازمة ريت في الحسبان لدى المريضات المصابات بالشلل الدماغي الطفلي أو التخلف العقلي مجهول السبب، بالاستعانة بالمعايير المعتمدة دولياً.
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carvajal2002revistasndrome
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| Authors | ;Carlos Coronel Carvajal |
| Journal | studies in the history of gardens and designed landscapes |
| Year | 2002 |
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