The structure of hereditary diseases in children hospitalized in a specialized clinic

Abstract

Purpose: to analyze the structure of hereditary pathology and the results of genetic studies in children in a specialized clinic.Results.1045 children from 79 regions of the Russian Federation were examined and treated in the pediatric department of congenital and hereditary diseases in 2018. There were 25% of patients from Moscow and Moscow region and 75% from other territories. After examination all patients were divided into 2 large cohorts: patients with hereditary diseases diagnosed by clinical and laboratory data (737 children; 70%) and patients with undifferentiated pathological conditions with unclear genesis at the time of discharge from the hospital (308 children; 30%). In the cohort of hereditary diseases there were the most numerous (about 100 children in each) groups of patients with Ehlers–Danlos syndrome, imperfect osteogenesis and rare heterogeneous genetic syndromes. The groups of rickets- like diseases, chromosomal syndromes and Rett syndrome included 50-70 patients. Other groups were smaller. Half of the hospitalized patients required genetic analysis. The highest percentage of molecular genetically / cytogenetically confirmed diagnoses was found in the groups of chromosomal diseases, rare genetic syndromes of lysosomal and mitochondrial diseases, Rett syndrome, and aminoacidopathy. It is worth mentioning that a primary diagnosis was not established during a genetic study in 57 children (18%) children from the general cohort of patients with hereditary diseases, so the researchers used other methods of analysis or bioinformatic revision of the results.Conclusion: The authors found a large variety of genetic diseases in children requiring examination and treatment in a specialized hospital. 1/5 of the examined children require additional genetic testing or repeated bioinformatic interpretation of the data.

Diagnosis of Hereditary Syndromes of Connective Tissue Dysplasia in Children: A Lecture

“…В отделении врожденных и наследственных заболеваний Института Ю.Е. Вельтищева ежегодно получают клиническое обследование и лечение более 1000 детей из разных регионов РФ, из них большая группа пациентов -около 30% детей -страдает дисплазиями соединительной ткани [9]. Специализированные генетические исследования выполняются в различных лабораториях -ФГБНУ МГНЦ им.…”

Emotional and personal characteristics of adolescents with Ehlers–Danlos syndrome

“…ОРИГИНАЛЬНЫЕ СТАТЬИ с генетическими синдромами отражает наметившуюся прогрессивную гуманистическую реформацию взглядов на систему помощи больному ребенку. Несмотря на значительное число научных изысканий, посвященных генетическим заболеваниям, мало изучен эмоционально-личностный аспект у больных с синдромом Элерса-Данло, составляющих существенную когорту пациентов специализированного педиатрического стационара [1]. Синдром Элерса-Данло представляет собой гетерогенную группу моногенных заболеваний соединительной ткани, характеризующихся аутосомно-доминантным или аутосомно-рецессивным типом наследования [2][3][4].…”