Why it is dicult to distinguish the Silver-Russell syndrome (SRS) and 3M syndrome in clinical practice Beibei Zhang Department of Endocrinology, Genetics, Metabolism, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China Chunxiu Gong (
[email protected] ) Department of Endocrinology, Genetics, Metabolism, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China Research Keywords: Silver-Russell syndrome, 3M syndrome, NH-CSS, Phenotype Posted Date: April 15th, 2020 DOI: https://doi.org/10.21203/rs.3.rs-22088/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/10 Abstract Background: To analyze why 3M syndrome can be regarded as a SRS-like syndrome by examining the patients with 3M syndrome and research the connection between 3M syndrome and SRS. Methods: The term “3M syndrome” was retrieved by Web of Science and the 3M patients were screened by NH-CSS to determine whether it was consist with the diagnosis of clinical SRS, and to analyze the relationship between the two diseases by exploring literature. Results: Among patients with 3M syndrome, 60/70 (83%) were in accordance with clinical SRS, and the coincidence rates of CUL7, OBSL1, CCDC8 gene mutations were: 30 (42%), 17 (24%) and 4 (6%) respectively; The phenotypes of 3M syndrome conrmed as clinical SRS were SGA (90%), short stature (100%), forehead protruding (100%), relative macrocephaly (100%), feeding diculties/low BMI (33%), body asymmetry (0); Skeletal abnormalities and pathogenesis were previously considered as the key points of differentiation also were overlaps between two diseases; Symptomatic treatment and GH- treatment were carried out.