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Diagnostic criteria for Werner syndrome based on Japanese nationwide epidemiological survey.
[werner syndrome]
Werner
syndrome
(
WS
)
is
an
autosomal
recessive
disorder
of
progeroid
symptoms
and
signs
.
It
is
caused
by
mutations
in
the
WRN
gene
,
which
encodes
a
RecQ
DNA
helicase
.
The
aim
of
this
study
was
to
revise
the
diagnostic
criteria
for
Japanese
Werner
syndrome
.
A
nationwide
epidemiological
study
was
carried
out
from
2009
to
2011
,
involving
6921
surveys
sent
to
hospitals
with
more
than
200
beds
to
assess
existing
WS
diagnostic
criteria
,
as
well
as
additional
signs
of
high
incidence
on
the
basis
of
clinical
experience
with
WS
.
T
he
existing
diagnostic
criteria
were
reviewed
,
and
signs
with
>
90
%
incidence
were
listed
as
cardinal
signs
.
Several
criteria
were
added
,
including
genetic
testing
and
calcification
of
the
Achilles
tendon
,
whereas
criteria
that
are
practically
difficult
to
obtain
,
such
as
measurement
of
urinary
hyaluronic
acid
,
were
omitted
.
The
26
-
year
-old
diagnostic
criteria
for
WS
were
revised
on
the
basis
of
the
results
of
a
nationwide
epidemiological
study
.
The
proposed
revised
criteria
will
facilitate
simpler
,
faster
and
more
robust
diagnosis
of
WS
in
the
Japanese
population
.
Diseases
Validation
Diseases presenting
"which encodes a recq dna helicase"
symptom
werner syndrome
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