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Post vaccine acute disseminated encephalomyelitis as the first manifestation of chromosome 22q11.2 deletion syndrome in a 15-month old baby: a case report.
[22q11.2 deletion syndrome]
We
describe
a
case
of
a
15
-
month
-old
female
child
admitted
to
our
hospital
because
of
fever
,
rash
,
neurological
signs
(
oscillation
between
states
of
irritability
and
drowsiness
)
,
palpebral
edema
and
drooping
eyelid
,
appeared
10
days
after
the
vaccination
for
measles
,
mumps
and
rubella
.
Brain
MRI
images
showed
multiple
bilateral
hyperintense
lesions
in
the
white
matter
typical
of
acute
disseminated
encephalomyelitis
(
ADEM
)
,
an
autoimmune
demyelinating
disorder
with
inflammatory
lesions
of
the
central
nervous
system
,
due
to
viral
antigens
or
vaccines
.
In
the
mean
time
,
because
of
patient
's
vague
phenotypic
manifestations
,
suggestive
of
a
genetic
defect
,
array
comparative
genomic
hybridization
was
carried
out
which
showed
the
presence
of
a
microdeletion
22
q
11
.
2
1
,
linked
to
the
DiGeorge
syndrome
.
Our
case
suggests
that
pediatric
cases
of
post-vaccination
ADEM
,
in
which
neurological
signs
persist
,
should
be
investigated
for
genetic
phenotypical
features
,
in
order
to
exclude
the
presence
of
a
genetic
syndrome
or
disease
.
Diseases
Validation
Diseases presenting
"central nervous system"
symptom
22q11.2 deletion syndrome
adrenomyeloneuropathy
alexander disease
aniridia
aromatase deficiency
canavan disease
child syndrome
classical phenylketonuria
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
fabry disease
gm1 gangliosidosis
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
hodgkin lymphoma, classical
kabuki syndrome
kallmann syndrome
kindler syndrome
krabbe disease
lamellar ichthyosis
legionellosis
liposarcoma
malignant atrophic papulosis
monosomy 21
neonatal adrenoleukodystrophy
phenylketonuria
proteus syndrome
scrub typhus
severe combined immunodeficiency
sneddon syndrome
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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