DiGeorge Syndrome Diagnosed at Age 38: Challenges in Low-resource Settings and Implications of a Missed Diagnosis. (Record no. 14645)

MARC details
000 -LEADER
fixed length control field 03261nam a22004457a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 240117s20242024 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2755-1520
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code luae136 [pii]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC11267221 [pmc]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 39049863
245 ## - TITLE STATEMENT
Title DiGeorge Syndrome Diagnosed at Age 38: Challenges in Low-resource Settings and Implications of a Missed Diagnosis.
251 ## - Source
Source JCEM Case Reports. 2(7):luae136, 2024 Jul.
252 ## - Abbreviated Source
Abbreviated source JCEM Case Rep. 2(7):luae136, 2024 Jul.
253 ## - Journal Name
Journal name JCEM case reports
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2024
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2024 Jul
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status PubMed-not-MEDLINE
266 ## - Date added to catalog
Date Medline record created 2024/07/25 04:44
520 ## - SUMMARY, ETC.
Abstract 22q11.2 deletion syndrome (22.q11.2 DS) is a genetic syndrome resulting from a microdeletion on chromosome 22. It has a diverse array of manifestations, and most cases are diagnosed early in childhood. We present the case of a 38-year-old female born in a developing country who presented to our clinic to establish care for a history of primary hypothyroidism. She was clinically and biochemically euthyroid on thyroid supplementation. She was also noted to have hypocalcemia in the setting of low PTH, for which the patient was previously prescribed calcitriol. Given a history of cleft palate, abnormal facial features, mild recurrent sinopulmonary infections, and her endocrine history (including short stature with height in the 6th percentile), genetic testing was obtained. She was diagnosed with a heterozygous whole gene deletion of the TBX1 gene. Additional genetic evaluation demonstrated a 2.6-Mb microdeleted segment of the 22a11.2 region encompassing 62 genes. The patient was referred to cardiology for evaluation of cardiac involvement given a history of tachyarrhythmia. This case highlights challenges in diagnosis and the implications of a delayed diagnosis of 22.q11.2 DS. Copyright © The Author(s) 2024. Published by Oxford University Press on behalf of the Endocrine Society.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Indexing Automated
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Hematology/Oncology
656 ## - INDEX TERM--OCCUPATION
Department Internal Medicine Residency
656 ## - INDEX TERM--OCCUPATION
Department Medicine/Endocrinology
656 ## - INDEX TERM--OCCUPATION
Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
657 ## - INDEX TERM--FUNCTION
Medline publication type Case Reports
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Kuenstner, William
Institution Code MGUH
Program Internal Medicine Residency
Degree MD
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Rapisuwon, Suthee
Institution Code MWHC
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Shobab, Leila
Institution Code MWHC
790 ## - Authors
All authors Kuenstner W , Rapisuwon S , Shobab L
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1210/jcemcr/luae136">https://dx.doi.org/10.1210/jcemcr/luae136</a>
Public note https://dx.doi.org/10.1210/jcemcr/luae136
858 ## - ORCID
ORCID text Kuenstner, William
Orcid <a href="https://orcid.org/0000-0002-7248-8012">https://orcid.org/0000-0002-7248-8012</a>
Name https://orcid.org/0000-0002-7248-8012
-- https://orcid.org/0000-0002-1389-925X
-- https://orcid.org/0000-0002-6534-810X
858 ## - ORCID
ORCID text Rapisuwon, Suthee
Orcid <a href="https://orcid.org/0000-0002-1389-925X">https://orcid.org/0000-0002-1389-925X</a>
Name https://orcid.org/0000-0002-7248-8012
-- https://orcid.org/0000-0002-1389-925X
-- https://orcid.org/0000-0002-6534-810X
858 ## - ORCID
ORCID text Shobab, Leila
Orcid <a href="https://orcid.org/0000-0002-6534-810X">https://orcid.org/0000-0002-6534-810X</a>
Name https://orcid.org/0000-0002-7248-8012
-- https://orcid.org/0000-0002-1389-925X
-- https://orcid.org/0000-0002-6534-810X
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
              10/17/2024   39049863 39049863 10/17/2024 10/17/2024 Journal Article

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